Provider Demographics
NPI:1962787374
Name:ELITE DIAGNOSTICS, INC
Entity type:Organization
Organization Name:ELITE DIAGNOSTICS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAHNISER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-695-8704
Mailing Address - Street 1:444 HOLDERRIETH BLVD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-4591
Mailing Address - Country:US
Mailing Address - Phone:281-255-6850
Mailing Address - Fax:281-664-3565
Practice Address - Street 1:444 HOLDERRIETH BLVD
Practice Address - Street 2:SUITE 1
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-4591
Practice Address - Country:US
Practice Address - Phone:281-255-6850
Practice Address - Fax:816-643-5652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty