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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.

Location: 11414 W Park Pl Ste 202, Milwaukee, WI, 92881-4735
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Milwaukee
State
Wisconsin
Zip
53224-3500
Phone Number
951-272-3372
Fax Number
person
Provider Business Mailing Address Details
Address
11414 W Park Pl Ste 202
City
Milwaukee
State
Wisconsin
Zip
53224-3500
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
335V00000X
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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