Organization Name: | ELITE IMAGING OF FAIRVIEW HEIGHTS, LLC |
NPI Number: | 1407825342 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES A NE;UTE (MANAGING PARTNER) |
Mailing Address: | 317 Salem Pl Suite 130 Fairview Heights |
State: | IL US |
Postal Code: | 622081347 |
Phone Number: | 6186322900 |
Fax Number: | 6186322901 |
NPI Enumeration Date: | 03/14/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
Taxonomy Definition: |