# ELLIS COUNTY IMAGING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073166161
- **Authorized official:** DAVID LEAVITT (CEO)
- **Authorized official phone:** (972) 979-1300

## Contact information

- **Practice address:** 101 EXECUTIVE CT STE 100A, WAXAHACHIE, TX 75165-1973
- **Practice address phone:** (214) 903-7445
- **Practice address fax:** (972) 807-6223
- **Mailing address:** 2452 US HIGHWAY 80 E, MESQUITE, TX 75149-1201
- **Mailing address phone:** (214) 221-2700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/18/2019
- **Last updated:** 09/21/2022