# PREMIER MOBILE IMAGING LLC

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

## Provider details

- **NPI number:** 1427395086
- **Authorized official:** MRS. TRISHA SULLIVAN (OWNER)
- **Authorized official phone:** (402) 706-1038

## Contact information

- **Practice address:** 101 N 38TH AVE, OMAHA, NE 68131-2301
- **Practice address phone:** (402) 558-1440
- **Practice address fax:** (402) 292-3203
- **Mailing address:** 101 N 38TH AVE, OMAHA, NE 68131-2301
- **Mailing address phone:** (402) 558-1440
- **Mailing address fax:** (402) 292-3203

## Taxonomy

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

## Other

- **Enumeration date:** 01/15/2013
- **Last updated:** 05/01/2017