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Organization

ELITE IMAGING OF NORTH COUNTY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CECIL S. GRAY (MEMBER)
(913) 669-6161
Entity
Organization

Contact information

Practice address
433 LYNN HAVEN LN, HAZELWOOD, MO 63042-1808
(314) 731-0600
(314) 731-0601
Mailing address
433 LYNN HAVEN LN, HAZELWOOD, MO 63042-1808
(314) 731-0600
(314) 731-0601

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary

Other

Enumeration date
11/11/2008
Last updated
12/16/2008
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