| Organization Name: | ELITE VIEW IMAGING, LLC |
| NPI Number: | 1144684200 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANGELA MALLETT (DIRECTOR OF REVENUE CYCLE) |
| Mailing Address: | 750 12th Ave Suite 100 Ft Worth |
| State: | TX US |
| Postal Code: | 761042531 |
| Phone Number: | 8178773054 |
| Fax Number: | 8175460851 |
| NPI Enumeration Date: | 04/05/2016 |
| NPI Last Update Date: | 04/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology |
| Taxonomy Definition: | |