Organization · Type 2 NPI

Premium Mobile Diagnostics LLC

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

NPI number 1629583091 Active

Practice location

11414 W Park Pl Ste 202
Milwaukee, WI 53224-3500

Call (951) 272-3372 Map

Mailing address

1014 Lowry Ranch Rd
Corona, CA 92881-4735

Specialties and licenses

TaxonomyCodeLicense
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Primary 335V00000XNone listed

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier: 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 service…

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About NPI 1629583091

Premium Mobile Diagnostics LLC's National Provider Identifier is 1629583091, issued on Dec 7, 2017. The primary taxonomy on file is Portable X-ray and/or Other Portable Diagnostic Imaging Supplier (335V00000X), and the practice location is in Milwaukee, WI. The record was last updated on Dec 7, 2017.