NPI: 1447493390
Provider Name: PORTABLE DIAGNOSTIC IMAGING, INC.
Other Name: PREMIER PORTABLE X-RAY, INC.
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization
Specialization: Medical Specialty
Address:
6545 FRANCE AVE S
SUITE C 62A
EDINA, MN
ZIP 55435
Phone: (612) 369-4775
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PORTABLE DIAGNOSTIC IMAGING, INC. is a medical specialty clinic center in Edina, MN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). PORTABLE DIAGNOSTIC IMAGING, INC. NPI is 1447493390. The provider is registered as an organization entity type.
The provider Other Name Is Premier Portable X-ray, Inc..
The provider's business location address is:
6545 FRANCE AVE S
SUITE C 62A
EDINA, MN
ZIP 55435-131
Phone: (612) 369-4775
The provider's authorized official is Owen M Schunk .
The authorized official title is Administrative Manager and has the following contact phone number (612) 369-4775.
The enumeration date for this NPI number is 4/8/2009 and was last updated on 4/8/2009.