Elite Imaging Of Fairview Heights, Llc
LBN: Elite Imaging Of Fairview Heights, Llc
Elite Imaging Of Fairview Heights, Llc is an health care organization with primary practice located at 12 Wolf Creek Dr Ste 300 , Swansea IL 62226-2314. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI), Ambulatory Health Care Facilities / Radiology. Ambulatory Health Care Facilities / Radiology is the primary health care specialty.
Elite Imaging Of Fairview Heights, Llc can be contacted via phone (618) 632-2900, or through Ruyle, Matthew A via phone (618) 632-2900.
Contact Information
Primary practice address
12 Wolf Creek Dr Ste 300
Swansea IL 62226-2314
Phone: (618) 632-2900
Fax: (618) 632-2901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) | 261QM1200X | ||
| Ambulatory Health Care Facilities / Radiology | 261QR0200X |
Profile Details
| NPI number | 1407825342 |
|---|---|
| LBN Legal business name | Elite Imaging Of Fairview Heights, Llc |
| DBA Doing business as | |
| Authorized official | Ruyle, Matthew A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Aug 5th, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407825342 | NPPES |
| Illinois | MEDICAID | IL975 |
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