Provider Demographics
NPI:1144684200
Name:ELITE VIEW IMAGING, LLC
Entity type:Organization
Organization Name:ELITE VIEW IMAGING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:MALLETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-315-0362
Mailing Address - Street 1:PO BOX 857
Mailing Address - Street 2:SUITE 100
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-0857
Mailing Address - Country:US
Mailing Address - Phone:972-315-0362
Mailing Address - Fax:972-906-9631
Practice Address - Street 1:750 12TH AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:FT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-2531
Practice Address - Country:US
Practice Address - Phone:817-877-3054
Practice Address - Fax:817-546-0851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-05
Last Update Date:2016-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology