NPIMap

Organization Active NPI

Elite Imaging, LLC

  • Specialist
  • Birmingham, AL
National Provider Identifier
1316481294
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
AL15968 Issued in AL
Legal business name
ELITE IMAGING, LLC
Practice address
200 Cahaba Park Circle
Suite 215
Birmingham, AL 35242
Phone
(205) 991-1830
NPI assigned
Dec 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Phillip Triantos
Title
President
Phone
(205) 991-1830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X AL15968 AL Primary

Addresses

Primary practice location

200 Cahaba Park Circle
Suite 215
Birmingham, AL 35242

Mailing address

200 Cahaba Park Circle
Suite 215
Birmingham, AL 35242
Phone (205) 991-1830

National Provider Directory

National Provider Directory

Locations

200 Cahaba Park Cir
Ste 215
Birmingham, AL 35242
Phone (205) 991-1830

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1316481294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CAHABA PARK CIRCLE",
            "address_2": "SUITE 215",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35242",
            "telephone_number": "205-991-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CAHABA PARK CIRCLE",
            "address_2": "SUITE 215",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35242",
            "telephone_number": "205-991-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-12",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "TRIANTOS",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-991-1830",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "AL15968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.