Organization
ELITE ULTRASOUND IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY CAMPBELL (OWNER)
(615) 942-6376
Entity
Organization
Contact information
Practice address
1033 EAST OLD HICKORY BLVD, MADISON, TN 37115
(615) 943-6376
Mailing address
1033 EAST OLD HICKORY BLVD, MADISON, TN 37115
(615) 942-6376
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1507624
—
TN
01
—
4181512
BCBS
TN
Enumeration date
11/30/2006
Last updated
01/13/2009
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