NPI 1629583091

Premium Mobile Diagnostics LLC

Organisation Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Milwaukee, WI

Practice location

Address: 11414 W Park Pl STE 202, Milwaukee, WI 53224-3500
Phone: (951) 272-3372
Mailing address: 1014 Lowry Ranch Rd, Corona, CA 92881-4735

Authorised official

Name: Zinath Khan
Title: Managing Member
Phone: (951) 272-3372

Registered specialties

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Primary

Suppliers Taxonomy 335V00000X

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Registry record

NPI: 1629583091
Entity type: Organization
NPI issued: 7 Dec 2017
Record last updated: 7 Dec 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.