# RIVERSIDE ELITE IMAGING , INC

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

## Provider details

- **NPI number:** 1790378016
- **Authorized official:** FADY ALAM (OWNER)
- **Authorized official phone:** (951) 900-3000

## Contact information

- **Practice address:** 21828 CACTUS AVE, RIVERSIDE, CA 92518-3010
- **Practice address phone:** (951) 900-3000
- **Practice address fax:** (951) 900-1234
- **Mailing address:** 21828 CACTUS AVE, RIVERSIDE, CA 92518-3010
- **Mailing address phone:** (951) 900-3000
- **Mailing address fax:** (951) 900-1234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 02/17/2021
- **Last updated:** 02/17/2021