# PREMIER IMAGING SOLUTIONS SOCAL LLC

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

## Provider details

- **NPI number:** 1255016333
- **Authorized official:** JAMIE WOOD (QUALITY AND COMPLIANCE DIRECTOR)
- **Authorized official phone:** (605) 484-0188

## Contact information

- **Practice address:** 23297 S POINTE DR STE 100, LAGUNA HILLS, CA 92653-1491
- **Practice address phone:** (877) 211-4523
- **Mailing address:** 3440 N 16TH ST STE 200, PHOENIX, AZ 85016-7125
- **Mailing address phone:** (605) 484-0188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 06/16/2023
- **Last updated:** 06/16/2023