Organization
NOVELLO IMAGING PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRIS ELLIOTT (AUTHORIZED OFFICIAL)
(231) 421-8505
Entity
Organization
Contact information
Practice address
4290 COPPER RIDGE DR STE 100, TRAVERSE CITY, MI 49684-7256
(231) 714-4306
(231) 714-0077
Mailing address
4290 COPPER RIDGE DR STE 100, TRAVERSE CITY, MI 49684-7256
(314) 218-5052
(231) 421-8506
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
10/14/2020
Last updated
03/24/2025
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