Organization
OPTIMAL IMAGING
Active
Organization
OPTIMAL IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENINE M ELLIS (MEMBER)
(919) 460-1012
Entity
Organization
Contact information
Practice address
111 OLYMPIC DRIVE, CARY, NC 27513
(919) 460-1012
Mailing address
111 OLYMPIC DRIVE, CARY, NC 27513
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
45873
NC
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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