# PREMIER DIAGNOSTIC IMAGING SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174894539
- **Authorized official:** JAWEED NAWAZ (PRESIDENT)
- **Authorized official phone:** (872) 985-1023

## Contact information

- **Practice address:** 1784 E OAKTON ST, \#113, DES PLAINES, IL 60018-2168
- **Practice address phone:** (847) 376-8959
- **Mailing address:** 1784 E OAKTON ST, \#113, DES PLAINES, IL 60018-2168
- **Mailing address phone:** (847) 376-8959

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246XS1301X | Sonography Specialist/Technologist Cardiovascular | — | NULL | — |
| 246XS1301X | Sonography Specialist/Technologist Cardiovascular | — | — | — |
| 2471S1302X | Sonography Radiologic Technologist | — | NULL | — |
| 2471S1302X | Sonography Radiologic Technologist | — | — | — |
| 2471V0105X | Vascular Sonography Radiologic Technologist | — | NULL | — |
| 2471V0105X | Vascular Sonography Radiologic Technologist | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/17/2012
- **Last updated:** 11/28/2016