Provider Demographics
NPI:1861575615
Name:PREFERRED IMAGING OF PLANO, LLC
Entity type:Organization
Organization Name:PREFERRED IMAGING OF PLANO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:TONI
Authorized Official - Middle Name:
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:754-206-6198
Mailing Address - Street 1:8300 W SUNRISE BLVD
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33322-5406
Mailing Address - Country:US
Mailing Address - Phone:800-730-0050
Mailing Address - Fax:
Practice Address - Street 1:2205 N CENTRAL EXPWY.
Practice Address - Street 2:STE. 185
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-2591
Practice Address - Country:US
Practice Address - Phone:972-312-0799
Practice Address - Fax:972-346-6566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiologyGroup - Single Specialty
No2471M1202XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMagnetic Resonance ImagingGroup - Single Specialty
No2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Single Specialty
No261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00605406OtherRAILROAD MEDICARE
TX205460101Medicaid
TX0540DCOtherBCBS TX
P00605406OtherRAILROAD MEDICARE