Provider Demographics
NPI:1154674042
Name:ELITE DIAGNOSTICS LLC
Entity Type:Organization
Organization Name:ELITE DIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KIRNJOT
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:888-339-7339
Mailing Address - Street 1:10996 FOUR SEASONS PL
Mailing Address - Street 2:STE 100A
Mailing Address - City:CROWN POINT
Mailing Address - State:IN
Mailing Address - Zip Code:46307-8684
Mailing Address - Country:US
Mailing Address - Phone:888-339-7339
Mailing Address - Fax:312-254-1421
Practice Address - Street 1:10996 FOUR SEASONS PL
Practice Address - Street 2:STE 100A
Practice Address - City:CROWN POINT
Practice Address - State:IN
Practice Address - Zip Code:46307-8684
Practice Address - Country:US
Practice Address - Phone:888-339-7339
Practice Address - Fax:312-254-1421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-17
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical Laboratory
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty
No207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Multi-Specialty
No207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory MedicineGroup - Multi-Specialty