Elite Imaging Group

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

ELITE IMAGING GROUP

Practice address

915 Junipero Dr
Duarte, CA 91010-3712

Phone

(626) 625-9428

Fax

(626) 608-9111

NPI assigned

May 15, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Leticia Antrim

Title

Owner

Phone

(626) 625-9428

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1942990718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 JUNIPERO DR",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910103712",
            "telephone_number": "626-625-9428",
            "fax_number": "626-608-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 JUNIPERO DR",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910103712",
            "telephone_number": "626-625-9428",
            "fax_number": "626-608-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE IMAGING GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "ANTRIM",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-625-9428",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Nicole Duvall, NP
• Wesley Adam Easter, CRNA
• Elda Home
• Hunaydah Elfarawi
• Manana B. Elia, M.D.
• Adam Elkharbotly
• Joanna Esther Elliot, PHARMD
• Amairany Ixtzayana Elorza
• Ana Beatriz Emiliano, M.D.
• Monique Enciso-Vasquez

• Mobile Radiology Clinic/Center in Duarte, CA
• Providers in Duarte, CA by specialty
• Mobile Radiology Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.