Premium Mobile Diagnostics LLC

NPI #1629583091 in Milwaukee, Wisconsin

Provider Information

NPI Number: 1629583091
Entity Type: Organization
Organization Name: Premium Mobile Diagnostics LLC
Primary Specialty: Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Enumeration Date: Dec 7, 2017
Last Updated: Dec 7, 2017

Practice Location

Address: 11414 W PARK PL STE 202
City: Milwaukee
State: Wisconsin
ZIP Code: 53224-3500
Phone: (951) 272-3372

Authorized Official

Name: ZINATH KHAN, MBA
Title: MANAGING MEMBER
Phone: (951) 272-3372

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	335V00000X	Primary

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