Organization
ELLIS COUNTY IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LEAVITT (CEO)
(972) 979-1300
Entity
Organization
Contact information
Practice address
101 EXECUTIVE CT STE 100A, WAXAHACHIE, TX 75165-1973
(214) 903-7445
(972) 807-6223
Mailing address
2452 US HIGHWAY 80 E, MESQUITE, TX 75149-1201
(214) 221-2700
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2019
Last updated
09/21/2022
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