PRESTIGE IMAGING LLC (NPI# 1407014467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407014467 |
| Entity Type | Organization |
| Organization Name | PRESTIGE IMAGING LLC |
| Practice Address |
1616 Wabash Ave Fort Worth TX 76107-6528 |
| Mailing Address |
6301 Abrams Rd Ste 131 Dallas TX 75231-7856 |
| Practice Telephone | 8179929989 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-06-24 |
| Authorized Official Name | BRAD SCOBLE (GENERAL MANAGER) |
| Authorized Official Telephone | 8179929989 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205871019 | Prestige Imaging LLC | Clinic/Center | 1702 S Clack St, Abilene, TX 79605-4611 | 2006-06-17 |
| 1578503165 | Prestige Imaging LLC | Radiology | 2415 University Pkwy, University Health Park, Builing 3, Suite 112, Sarasota, FL 34243-2809 | 2006-06-08 |
| Street Address |
1616 WABASH AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76107-6528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683602 | Renovo Wound and Hyperbarics Pllc | Emergency Medicine | 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 | 2020-09-15 |
| 1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
| 1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
| 1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
| 1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
| 1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
| 1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
| 1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
| 1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
| 1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
| Find all providers in zip 76107 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396362836 | Parkhill Imaging Clearfork LLC | Clinic/Center | 5656 Edwards Ranch Rd Ste 100, Fort Worth, TX 76109-4136 | 2020-07-01 |
| 1679088207 | North Star Kl, Lp | Clinic/Center | 4501 Heritage Trace Pkwy Ste 115, Fort Worth, TX 76244-8940 | 2017-12-05 |
| 1275874521 | Baylor All Saints Medical Center | Clinic/Center | 1701 W Rosedale St, Fort Worth, TX 76104-7425 | 2013-03-12 |
| 1871788224 | Ramic Fort Worth, LLC | Clinic/Center | 750 12th Ave Ste 100, Fort Worth, TX 76104-2531 | 2007-09-10 |
| 1134345879 | Tarrant Diagnostic Imaging, LLC | Clinic/Center | 1121 8th Ave, Fort Worth, TX 76104-4102 | 2007-04-18 |
| 1942424452 | Ged Medical Management Inc | Clinic/Center | 2001 Cooper Street, Fort Worth, TX 76104 | 2007-04-13 |
| 1699277327 | Cardiovascular Testing Services Pa | Clinic/Center | 6809 Sawgrass Dr, Fort Worth, TX 76132-7103 | 2018-03-08 |
| 1275062572 | Vma Partners LLC | Clinic/Center | 1307 8th Ave, Fort Worth, TX 76104-4137 | 2017-06-08 |
| 1801346036 | Healthy Heart Medical Pa | Clinic/Center | 6809 Sawgrass Dr, Fort Worth, TX 76132-7103 | 2016-10-12 |
| 1104191568 | Touchstone Imaging of Mesquite, Lp | Clinic/Center | 1101 6th Ave, Fort Worth, TX 76104-4306 | 2012-03-19 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76107 |
Please comment or provide details below to improve the information on PRESTIGE IMAGING LLC.
| 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.