Organization
ELITE DIAGNOSTIC, LLC
Active
Other names
Elite Diagnostic Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LANDEN MIRALLEGRO (MANAGER)
(714) 237-0999
Entity
Organization
Contact information
Practice address
725 N SHEPARD ST, ANAHEIM, CA 92806-2836
(866) 354-8968
(866) 354-1115
Mailing address
PO BOX 27696, ANAHEIM, CA 92809-0123
(866) 354-8968
(866) 354-1115
Taxonomy
Speciality
Code
Description
License number
State
207RM1200X
Magnetic Resonance Imaging (MRI) Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/13/2008
Last updated
06/22/2011
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