Organization
ELITE DIAGNOSTICS MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID BLACK (CFO)
(818) 893-7500
Entity
Organization
Contact information
Practice address
24827 SAN FERNANDO RD # 179, SANTA CLARITA, CA 91321-1520
(818) 893-7500
(818) 893-4425
Mailing address
24827 SAN FERNANDO RD # 179, SANTA CLARITA, CA 91321-1520
(818) 893-7500
(818) 893-4425
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/18/2007
Last updated
12/18/2007
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