Provider Demographics
NPI:1316382724
Name:ENT CT LLC
Entity Type:Organization
Organization Name:ENT CT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIAS
Authorized Official - Middle Name:Y
Authorized Official - Last Name:HILAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-566-1515
Mailing Address - Street 1:1350 LOCUST STREET
Mailing Address - Street 2:SUITE 309
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219
Mailing Address - Country:US
Mailing Address - Phone:412-566-1515
Mailing Address - Fax:412-391-9164
Practice Address - Street 1:1350 LOCUST STREET
Practice Address - Street 2:SUITE 309
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219
Practice Address - Country:US
Practice Address - Phone:412-566-1515
Practice Address - Fax:412-391-9164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-30
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD019283E261QR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology