# ELITE VIEW IMAGING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elite View Starolup Holdings
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649643602
- **Authorized official:** MR. STEPHEN SCOTT BROUSSARD (PRESIDENT)
- **Authorized official phone:** (337) 349-4562

## Contact information

- **Practice address:** 1110 E MISSOURI AVE, SUITE 140, PHOENIX, AZ 85014-2707
- **Practice address phone:** (602) 274-4674
- **Practice address fax:** (602) 274-6060
- **Mailing address:** PO BOX 857, COPPELL, TX 75019-0857
- **Mailing address phone:** (337) 886-0883
- **Mailing address fax:** (337) 886-1212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085D0003X | Diagnostic Neuroimaging (Radiology) Physician | OTC5077 | AZ | Yes |

## Other

- **Enumeration date:** 11/12/2015
- **Last updated:** 11/12/2015