Provider Demographics
NPI:1528391968
Name:ELIM DIAGNOSTIC CENTER INC.
Entity Type:Organization
Organization Name:ELIM DIAGNOSTIC CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-290-9721
Mailing Address - Street 1:8344 E RL THRTN FWY
Mailing Address - Street 2:SUITE 315
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-7136
Mailing Address - Country:US
Mailing Address - Phone:972-290-9721
Mailing Address - Fax:972-288-1764
Practice Address - Street 1:8344 E RL THRTN FWY
Practice Address - Street 2:SUITE 315
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228-7136
Practice Address - Country:US
Practice Address - Phone:972-290-9721
Practice Address - Fax:972-288-1764
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-17
Last Update Date:2009-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic