Portable Diagnostic Imaging, Inc.

NPI #1447493390 in Edina, Minnesota

Provider Information

NPI Number
1447493390
Entity Type
Organization
Organization Name
Portable Diagnostic Imaging, Inc.
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Apr 8, 2009
Last Updated
Apr 8, 2009

Practice Location

Address
6545 FRANCE AVE S
Address 2
SUITE C 62A
City
Edina
ZIP Code
55435-2131
Phone
(612) 369-4775

Authorized Official

Name
MR. OWEN M SCHUNK
Title
ADMINISTRATIVE MANAGER
Phone
(612) 369-4775

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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