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Organization

ELITE IMAGING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PHILLIP TRIANTOS (PRESIDENT)
(205) 991-1830
Entity
Organization

Contact information

Practice address
200 CAHABA PARK CIRCLE, SUITE 215, BIRMINGHAM, AL 35242
(205) 991-1830
Mailing address
200 CAHABA PARK CIRCLE, SUITE 215, BIRMINGHAM, AL 35242
(205) 991-1830

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AL15968
AL

Other

Enumeration date
12/12/2016
Last updated
12/12/2016
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