Organization Active NPI

Preferred Imaging at the Medical Center LTD

  • Magnetic Resonance Imaging Radiologic Technologist
  • Dallas, TX
National Provider Identifier
1992880827
Registry record updated Jan 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X
Legal business name
PREFERRED IMAGING AT THE MEDICAL CENTER LTD
Practice address
5920 Forest Park Rd.
Ste 560
Dallas, TX 75235-6400
Phone
(214) 350-0708
Fax
(214) 764-3073
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2018

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

Authorized official

Name
Clerissa Hadley
Title
Director of Network Development
Phone
(972) 215-7410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 2471M1202X Primary

Addresses

Primary practice location

5920 Forest Park Rd.
Ste 560
Dallas, TX 75235-6400

Mailing address

PO Box 674056
Dallas, TX 75267-4056
Phone (972) 479-1115

Other identifiers 3

IdentifierTypeStateIssuer
FTXU46OtherTXBCBS TX
P00237806OtherTXRAILROAD MEDICARE
172124301MedicaidTX

National Provider Directory

National Provider Directory

Locations

5920 Forest Park Rd
Ste 560
Dallas, TX 75235
Phone (214) 350-0708

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516320000000",
    "number": "1992880827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674056",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674056",
            "telephone_number": "972-479-1115",
            "fax_number": "972-479-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 FOREST PARK RD.",
            "address_2": "STE 560",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752356400",
            "telephone_number": "214-350-0708",
            "fax_number": "214-764-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED IMAGING AT THE MEDICAL CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2018-01-19",
        "status": "A",
        "authorized_official_last_name": "HADLEY",
        "authorized_official_first_name": "CLERISSA",
        "authorized_official_title_or_position": "DIRECTOR OF NETWORK DEVELOPMENT",
        "authorized_official_telephone_number": "972-215-7410"
    },
    "taxonomies": [
        {
            "code": "2471M1202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "FTXU46",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00237806",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172124301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; 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.