PREFERRED IMAGING OF FORT WORTH LLC NPI 1043566011

NPI Information

PREFERRED IMAGING OF FORT WORTH LLC is a radiology clinic center in Fort Worth, TX. PREFERRED IMAGING OF FORT WORTH LLC NPI is 1043566011. The provider is registered as an organization entity type.

The provider's business location address is:

851 GRAINGER ST
SUITE 101
FORT WORTH, TX
ZIP 76104-645
Phone: (469) 362-6909
Fax: (214) 494-4295

The provider's authorized official is Kristy Mcgill .
The authorized official title is Director Of Network Development and has the following contact phone number (972) 215-7410.

The CLIA number assigned to this NPI record is 45D2049811 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/27/2012 and was last updated on 9/30/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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