NPIMap

Organization Active NPI

Prestige Imaging, LLC

  • Radiology Clinic/Center
  • Mesquite, TX
National Provider Identifier
1851322473
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
R29470 Issued in TX
Legal business name
PRESTIGE IMAGING, LLC
Practice address
820 E Cartwright Rd
Suite 100
Mesquite, TX 75149-6000
Phone
(972) 288-2077
Fax
(972) 329-0311
NPI assigned
Jul 5, 2006
Last updated
Oct 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Kim D Cruz
Title
Facility Director
Phone
(817) 558-1940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X R29470 TX Primary

Addresses

Primary practice location

820 E Cartwright Rd
Suite 100
Mesquite, TX 75149-6000

Mailing address

820 E Cartwright Rd
Suite 100
Mesquite, TX 75149-6000
Phone (972) 288-2077

National Provider Directory

National Provider Directory
Tax ID family
Prestige Imaging LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1851322473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 E CARTWRIGHT RD",
            "address_2": "SUITE 100",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751496000",
            "telephone_number": "972-288-2077",
            "fax_number": "972-329-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 E CARTWRIGHT RD",
            "address_2": "SUITE 100",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751496000",
            "telephone_number": "972-288-2077",
            "fax_number": "972-329-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "FACILITY DIRECTOR",
        "authorized_official_telephone_number": "817-558-1940",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "TX",
            "license": "R29470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.