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Organization

ELITE VIEW IMAGING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA MALLETT (DIRECTOR OF REVENUE CYCLE)
(972) 315-0362
Entity
Organization

Contact information

Practice address
750 12TH AVE, SUITE 100, FT WORTH, TX 76104-2531
(817) 877-3054
(817) 546-0851
Mailing address
PO BOX 857, SUITE 100, COPPELL, TX 75019-0857
(972) 315-0362
(972) 906-9631

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary

Other

Enumeration date
04/05/2016
Last updated
04/05/2016
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