ELITE DIAGNOSTIC IMAGING LLC NPI 1821178856

NPI Information

  • NPI: 1821178856
  • Provider Name: ELITE DIAGNOSTIC IMAGING, LLC
  • Classification: Clinic/Center - 261QR0200X
  • Specialization: Radiology
  • Entity Type: Organization
  • Address: 17260 BEAR VALLEY RD
    SUITE 109
    VICTORVILLE, CA
    ZIP 92395
  • Phone: (760) 843-2900

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NPI Details

ELITE DIAGNOSTIC IMAGING, LLC is a radiology clinic center in Victorville, CA. ELITE DIAGNOSTIC IMAGING, LLC NPI is 1821178856. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17260 BEAR VALLEY RD
SUITE 109
VICTORVILLE, CA
ZIP 92395-777
Phone: (760) 843-2900
Fax: (760) 843-0144

The provider's authorized official is Hector A. Torres .
The authorized official title is Coo and has the following contact phone number (760) 843-2900.

The enumeration date for this NPI number is 10/16/2006 and was last updated on 12/12/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist200432110020CALIFORNIANo
2261QR0200XClinic/CenterRadiologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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