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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