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Organization
ELITE DIAGNOSTIC IMAGING INC
Active
Organization
ELITE DIAGNOSTIC IMAGING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSS TSYMBALOV (CEO)
(818) 719-0080
Entity
Organization
Contact information
Practice address
6164 TONY AVE, WOODLAND HILLS, CA 91367-1249
(818) 719-0080
(818) 719-0088
Mailing address
6164 TONY AVE, WOODLAND HILLS, CA 91367-1249
(818) 719-0080
(818) 719-0088
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
10/21/2008
Last updated
01/27/2011
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