NPI:
1497198147
Provider Name:
ELITE VIEW IMAGING, LLC
Former Legal Business Name: BROAD PARK IMAGING, LLC
Classification:
Clinic/Center - 261QR0200X
Entity Type:
Organization
Specialization: Radiology
Address:
1750 BROAD PARK CIR S
SUITE 300
MANSFIELD, TX
ZIP 76063
Phone:
(682) 200-2517
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ELITE VIEW IMAGING, LLC is a radiology clinic center in Mansfield, TX. ELITE VIEW IMAGING, LLC NPI is 1497198147. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Broad Park Imaging, Llc.
The provider's business location address is:
1750 BROAD PARK CIR S
SUITE 300
MANSFIELD, TX
ZIP 76063-832
Phone: (682) 200-2517
Fax: (682) 200-2518
The provider's authorized official is James A Waller .
The authorized official title is Manager and has the following contact phone number (817) 528-7044.
The enumeration date for this NPI number is 4/12/2013 and was last updated on 4/12/2013.