45D2126249 CLIA NUMBER - PREFERRED IMAGING OF IRVING, LLC

Laboratory Demographics

CLIA Number: 45D2126249

Facility Name: PREFERRED IMAGING OF IRVING, LLC

Facility Address:
660 W LBJ FREEWAY
IRVING, TX
ZIP 75063
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Facility Phone Number: 972 842-9020

Facility Type: Other - IMAGING FACILITY

Certificate Type: Waiver

NPI Number: 1598215733

Taxonomy: 261QR0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2126249
LAB Type	Other - IMAGING FACILITY
Facility Name	PREFERRED IMAGING OF IRVING, LLC
Street	660 W LBJ FREEWAY
City	IRVING
State	TX
ZIP	75063
Phone	972 842-9020
CertificateType	4
CertificateEffectiveDate	2/22/2023
CertificateExpirationDate	2/21/2025
FacilityType	Waiver

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