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PREMIUM MOBILE DIAGNOSTICS LLC NPI 1629583091


NPI Information

NPI: 1629583091
Provider Name: PREMIUM MOBILE DIAGNOSTICS LLC
Classification: Portable X-ray and/or Other Portable Diagnostic Imaging Supplier - 335V00000X
Entity Type: Organization
Address:
11414 W PARK PL STE 202
MILWAUKEE, WI
ZIP 53224
Phone: (951) 272-3372
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PREMIUM MOBILE DIAGNOSTICS LLC is a portable x ray and or other portable diagnostic imaging supplier in Milwaukee, WI. The provider is a supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. PREMIUM MOBILE DIAGNOSTICS LLC NPI is 1629583091. The provider is registered as an organization entity type.

The provider's business location address is:

11414 W PARK PL STE 202
MILWAUKEE, WI
ZIP 53224-500
Phone: (951) 272-3372

The provider's authorized official is Zinath Khan .
The authorized official title is Managing Member and has the following contact phone number (951) 272-3372.

The enumeration date for this NPI number is 12/7/2017 and was last updated on 12/7/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging SupplierYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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