Elite Diagnostic, LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Internal Medicine PhysicianTaxonomy code 207RM1200X

Legal business name

ELITE DIAGNOSTIC, LLC

Doing business as

Elite Diagnostic Imaging

Practice address

5824 Uplander Way
Culver City, CA 90230-6608

Phone

(866) 354-8368

NPI assigned

Oct 13, 2010

Last updated

Oct 13, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Landen Mirallegro

Title

Manager

Phone

(714) 237-0999

Specialties & licenses 1

Addresses

Other names 1

• ELITE DIAGNOSTIC IMAGING Doing business as

Tax ID family

Elite Diagnostic Imaging2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Elite Diagnostic, LLC

  dba Elite Diagnostic Imaging

  • Magnetic Resonance Imaging (MRI) Internal Medicine Physician
  • Anaheim, CA
  • NPI 1467606632
  NPD tax ID

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1528378478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27696",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928090123",
            "telephone_number": "866-354-8968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5824 UPLANDER WAY",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306608",
            "telephone_number": "866-354-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE DIAGNOSTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-13",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "MIRALLEGRO",
        "authorized_official_first_name": "LANDEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "714-237-0999",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RM1200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELITE DIAGNOSTIC IMAGING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David B. Eisner, MD
• Anna Munge Mesue Elage
• Denise Elefteriou, NP
• Frank Elias
• Rachelle Elias, LMFT
• Giovanna Elizalde
• Rosa Nallely Elizarraraz, MSW
• David Michael Elizondo Jr, RN
• Elliot Gross a Prof Corp
• Chimira Ellis- Thomas

• Internal Medicine Physician in Culver City, CA
• Providers in Culver City, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.