Provider Demographics
NPI:1356825665
Name:PRIORITY IMAGING, LLC
Entity Type:Organization
Organization Name:PRIORITY IMAGING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIO
Authorized Official - Middle Name:ALBERTO
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-859-0524
Mailing Address - Street 1:1018 N DAVIS DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-3240
Mailing Address - Country:US
Mailing Address - Phone:972-859-0524
Mailing Address - Fax:817-462-5016
Practice Address - Street 1:2501 N JOSEY LN STE 116
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-1600
Practice Address - Country:US
Practice Address - Phone:972-242-7755
Practice Address - Fax:972-242-7722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-21
Last Update Date:2018-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0200XChiropractic ProvidersChiropractorRadiologyGroup - Single Specialty