# ELITE MEDICAL TECHNOLOGIES, LLC

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

## Provider details

- **NPI number:** 1518089861
- **Authorized official:** MRS. DEBORAH P IMIG (OFFICE MANAGER)
- **Authorized official phone:** (209) 234-1100

## Contact information

- **Practice address:** 9152 PINTO CANYON WAY, ROSEVILLE, CA 95747-7109
- **Practice address phone:** (209) 234-1100
- **Practice address fax:** (209) 234-7600
- **Mailing address:** 9152 PINTO CANYON WAY, ROSEVILLE, CA 95747-7109
- **Mailing address phone:** (209) 234-1100
- **Mailing address fax:** (209) 234-7600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | CA | Yes |

## Other

- **Enumeration date:** 04/06/2007
- **Last updated:** 08/22/2020