# PORTABLE DIAGNOSTIC IMAGING, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premier Portable X-ray, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447493390
- **Authorized official:** MR. OWEN M SCHUNK (ADMINISTRATIVE MANAGER)
- **Authorized official phone:** (612) 369-4775

## Contact information

- **Practice address:** 6545 FRANCE AVE S, SUITE C 62A, EDINA, MN 55435-2131
- **Practice address phone:** (612) 369-4775
- **Mailing address:** 6545 FRANCE AVE S, SUITE C 62A, EDINA, MN 55435-2131
- **Mailing address phone:** (612) 369-4775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/08/2009
- **Last updated:** 04/08/2009