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Organization
ELITE IMAGING OF NORTH COUNTY, LLC
Active
Organization
ELITE IMAGING OF NORTH COUNTY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECIL S. GRAY (MEMBER)
(913) 669-6161
Entity
Organization
Contact information
Practice address
433 LYNN HAVEN LN, HAZELWOOD, MO 63042-1808
(314) 731-0600
(314) 731-0601
Mailing address
433 LYNN HAVEN LN, HAZELWOOD, MO 63042-1808
(314) 731-0600
(314) 731-0601
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/11/2008
Last updated
12/16/2008
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