PRESTIGE IMAGING LLC (NPI# 1205871019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205871019 |
| Entity Type | Organization |
| Organization Name | PRESTIGE IMAGING LLC |
| Practice Address |
1702 S Clack St Abilene TX 79605-4611 |
| Practice Telephone | 3256920872 |
| Practice Fax Number | 3256920893 |
| Mailing Telephone | 3256920872 |
| Mailing Fax Number | 3256920893 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2008-04-15 |
| Authorized Official Name | SHERRY PAUL (OFFICE MANAGER) |
| Authorized Official Telephone | 3256920872 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE RAIL ROAD | P00305755 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407014467 | Prestige Imaging LLC | Clinic/Center | 1616 Wabash Ave, Fort Worth, TX 76107-6528 | 2008-05-27 |
| 1578503165 | Prestige Imaging LLC | Radiology | 2415 University Pkwy, University Health Park, Builing 3, Suite 112, Sarasota, FL 34243-2809 | 2006-06-08 |
| Street Address |
1702 S CLACK ST |
| City | ABILENE |
| State | TX |
| Zip Code | 79605-4611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447741335 | Paul C. Harris, M.d., Pllc | Psychiatry & Neurology | 1702 S Clack St, Abilene, TX 79605 | 2018-05-25 |
| 1588179972 | Shelby Danae Wright | Specialist/Technologist | 1702 S Clack St, Abilene, TX 79605-4611 | 2017-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440389 | James Mccoy's Midtown Drug Store, Inc | Pharmacy | 1417 S Willis, Abilene, TX 79605 | 2020-02-26 |
| 1457694820 | Texas Neurology Clinic PC | Counselor | 4755 Hartford, Abilene, TX 79605 | 2013-04-03 |
| 1750656328 | Victor Lee Orthodontics Pllc | Dentist | 2209 S, Danville, Abilene, TX 79605 | 2012-03-15 |
| 1184902868 | Traci Jean King | Dentist | 2381 South 32nd St, Abilene, TX 79605 | 2011-07-28 |
| 1306143706 | Sara Aalyce Snowden | Physical Therapist | 4601 Hartford Street, Abilene, TX 79605 | 2011-02-21 |
| 1679735450 | Comprehensive Psychological Services, Ltd. | Psychologist | 5320 Lamesa Ave, Abilene, TX 79605 | 2008-07-02 |
| 1568652907 | Mary Ann Jones | Counselor | 1290 S. Willis St., Suite 117, Abilene, TX 79605 | 2007-08-01 |
| 1548389299 | Jillian Svend Koslan | Speech-Language Pathologist | Southwest Therapy Associates, 3233 South Willis Street, Abilene, TX 79605 | 2007-03-27 |
| 1245362532 | Brenda D Mcdonald | Custodial Care Facility | 714 S San Jose, Abilene, TX 79605 | 2007-03-12 |
| 1629124680 | Peggy Gene Martin | Counselor | 1290 S Willis, Ste 1221, Abilene, TX 79605 | 2007-01-25 |
| Find all providers in zip 79605 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
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| 1013518869 | Texas Advanced Imaging LLC | Clinic/Center | 4907 Sandhill Dr Ste D, Sugar Land, TX 77479-5352 | 2020-11-06 |
| 1801401229 | Jason A Ramsey M D P A | Clinic/Center | 8214 Milwaukee Ave Ste 200, Lubbock, TX 79424-0923 | 2020-09-11 |
| 1053940494 | Alliance Mri Woodforest LLC | Clinic/Center | 750 Fish Creek Thoroughfare, Suite 180, Montgomery, TX 77316 | 2020-04-07 |
| 1578199733 | Prestige Diagnostic Imaging LLC | Clinic/Center | 11240 Vista Del Sol Dr Ste A, El Paso, TX 79936-5236 | 2020-03-19 |
| 1740815364 | Prestige Diagnostic Imaging | Clinic/Center | 11240 Vista Del Sol Dr., El Paso, TX 79936-5236 | 2020-03-04 |
| 1457991689 | Inclusive Diagnostics, Inc | Clinic/Center | 12000 Richmond Ave Ste 125, Houston, TX 77082-2431 | 2020-01-15 |
| 1467006338 | Carroll Ave Imaging LLC | Clinic/Center | 1015 N Carroll Ave Ste 2001, Dallas, TX 75204-6613 | 2019-07-30 |
| 1316404635 | Alliance Mri Pearland LLC | Clinic/Center | 1910 Country Place Pkwy Ste 154, Pearland, TX 77584-2144 | 2019-02-22 |
| 1073080875 | North Texas Advanced Imaging LLC | Clinic/Center | 6160 Windhaven Pkwy Ste 100, Plano, TX 75093-2143 | 2018-10-30 |
| 1275014565 | Trinity Center Open Mri | Clinic/Center | 1110 Marshall Street, Laredo, TX 78045 | 2018-08-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.