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General NPI Number Information
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NPI Number | 1962787374
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Entity Type | Organization
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Legal Business Name | ELITE DIAGNOSTICS, INC
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Dates
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Enumeration Date | 10/17/2011
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 444 HOLDERRIETH BLVD SUITE 1
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City | TOMBALL
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State | TX
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Zip | 77375-4591
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Country | US
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Telephone | 281-255-6850
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Fax | 816-643-5652
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Provider Business Mailing Address
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Address Line | 444 HOLDERRIETH BLVD SUITE 1
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City | TOMBALL
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State | TX
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Zip | 77375-4591
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Country | US
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Telephone | 281-255-6850
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Fax | 281-664-3565
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Authorized Official
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Title or Position | CEO
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Name | MR. SEAN ZAHNISER
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Credential |
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Telephone | 480-695-8704
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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