PRESTIGE IMAGING, LLC (NPI# 1164608923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164608923 |
| Entity Type | Organization |
| Organization Name | PRESTIGE IMAGING, LLC |
| Practice Address |
2901 Judson Rd Longview TX 75605-1803 |
| Mailing Address |
6301 Abrams Rd Suite 131b Dallas TX 75231-7818 |
| Practice Telephone | 9036630110 |
| Mailing Telephone | 4699168894 |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-09-09 |
| Authorized Official Name | KIMBERLY DAWN CRUZ (FACILITY DIRECTOR) |
| Authorized Official Telephone | 8175581940 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518125574 | Prestige Imaging, LLC | Clinic/Center | 6491 Southwest Blvd, Benbrook, TX 76132-2777 | 2008-05-27 |
| 1851322473 | Prestige Imaging, LLC | Clinic/Center | 820 E Cartwright Rd, Suite 100, Mesquite, TX 75149-6000 | 2006-07-05 |
| 1083642656 | Prestige Imaging, LLC | Clinic/Center | 2916 N Sam Rayburn Fwy, Suite 610, Sherman, TX 75090-2546 | 2006-06-30 |
| 1184666588 | Prestige Imaging, LLC | Clinic/Center | 6301 Abrams Rd, Suite 131, Dallas, TX 75231-7818 | 2006-06-11 |
| 1225204654 | Prestige Imaging, LLC | Clinic/Center | 6789 Camp Bowie Blvd, Fort Worth, TX 76116-7112 | 2008-05-06 |
| 1881881308 | Prestige Imaging, LLC | Clinic/Center | 4410 N Midkiff Rd, Suite C-8, Midland, TX 79705-4246 | 2007-09-28 |
| 1043362916 | Prestige Imaging, LLC | Clinic/Center | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2007-01-18 |
| Street Address |
2901 JUDSON RD |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75605-1803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657425 | King's Management & Leasing LLC | Physiological Laboratory | 2901 Judson Rd, Longview, TX 75605-1803 | 2005-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353730 | Dusty Rae Hane | Nurse Practitioner | Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 | 2020-03-30 |
| 1831720374 | Kaycee Whatley | Nurse Practitioner | 323 W Hawkins Parkway, Longview, TX 75605 | 2020-02-03 |
| 1245733492 | Somers Pediatrics | Pediatrics | 103 W. Loop 281, Suite 474, Longview, TX 75605 | 2018-03-14 |
| 1467838391 | Piney Woods Er II LLC | Clinic/Center | 120 East Loop 281, Longview, TX 75605 | 2015-08-03 |
| 1386023968 | Elizabeth Ann Heeb Tidwell | Obstetrics & Gynecology | 802 Medical Dr Ste 100, Longview, TX 75605 | 2015-05-28 |
| 1215353651 | Tracy Hicks | Nurse Practitioner | 102 Commander Dr Ste 9, Longview, TX 75605 | 2014-03-10 |
| 1073881280 | Deirdre Scotter | Specialist/Technologist | 201 E Tomlinson Pkwy, Longview, TX 75605 | 2011-12-02 |
| 1316230139 | Traditions Hospice of Longview, LLC | Hospice Care, Community Based | 4362 N Us Hwy 259, Suite B, Longview, TX 75605 | 2011-05-26 |
| 1184916769 | Telema Dikibujiri Nga | Pediatrics | Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 | 2011-05-13 |
| 1902101108 | The Veta Lewis Behavioral Health Group | Counselor | 1800 S. Judson St., Suite 100, Longview, TX 75605 | 2011-01-19 |
| Find all providers in zip 75605 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
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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.