45D1069719 CLIA NUMBER - PREFERRED OPEN MRI, LLC

Laboratory Demographics

CLIA Number: 45D1069719

Facility Name: PREFERRED OPEN MRI, LLC

Facility Address:
8405 LAKEVIEW PKWY #220
ROWLETT, TX
ZIP 75088
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Facility Phone Number: 972 842-9020

Facility Type: Other - DIAGNOSTIC IMAGING

Certificate Type: Waiver

NPI Number: 1205911054

Taxonomy: 261QR0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D1069719
LAB Type	Other - DIAGNOSTIC IMAGING
Facility Name	PREFERRED OPEN MRI, LLC
Street	8405 LAKEVIEW PKWY #220
City	ROWLETT
State	TX
ZIP	75088
Phone	972 842-9020
CertificateType	4
CertificateEffectiveDate	6/12/2023
CertificateExpirationDate	6/11/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024