| NPI | 1649643602 |
|---|---|
| Doing Business As | ELITE VIEW STAROLUP HOLDINGS |
| Entity Type | Organization |
| Authorized Contact | STEPHEN SCOTT BROUSSARD President 337-349-4562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: AZ OTC5077) |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2015-11-12 |