Organization
ASM IMAGING SOURCES LLC
Active
Organization
ASM IMAGING SOURCES LLC
Active
Other names
ASM Imaging Sources LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ALTOVISE SHANNELL MOORER (ECHO TECH)
(217) 377-2949
Entity
Organization
Contact information
Practice address
801 W BAY DR STE 506, LARGO, FL 33770-3278
(217) 377-2949
Mailing address
1107 ROSERY RD NW APT 4324, LARGO, FL 33770-1267
(217) 377-2949
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
11/14/2021
Last updated
11/14/2021
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