institution
Premium Mobile Diagnostics Llc
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Milwaukee, Wisconsin
NPI 1629583091

Premium Mobile Diagnostics Llc is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier based in Corona, WI. Premium Mobile Diagnostics Llc practices in Milwaukee, WI. The NPI Number for Premium Mobile Diagnostics Llc is 1629583091 and holds a License No. (Wisconsin).

The current practice location address for Premium Mobile Diagnostics Llc is 11414 W Park Pl Ste 202, Milwaukee, WI and can be reached out via phone at 951-272-3372. You can also correspond with Premium Mobile Diagnostics Llc through the mailing address at 1014 LOWRY RANCH RD, CORONA, CA - 92881-4735 (mailing address contact number: 951-272-3372).

Location: 11414 W Park Pl Ste 202, Milwaukee, WI, 92881-4735
institution
Provider Profile Details
NPI Number
1629583091
Provider Name
Premium Mobile Diagnostics Llc
Credential
Provider Entity Type
Organization
Address
11414 W Park Pl Ste 202, Milwaukee, WI, 92881-4735
Phone Number
951-272-3372
Fax Number
Provider Enumeration Date
12/07/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11414 W Park Pl Ste 202
City
State
Zip
53224-3500
Phone Number
951-272-3372
Fax Number
person
Provider Business Mailing Address Details
Address
1014 Lowry Ranch Rd
City
State
Zip
92881-4735
Phone Number
951-272-3372
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Speciality
-
Taxonomy
License No.
()
Definition
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.
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