# PMDTC, LLC

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

## Provider details

- **NPI number:** 1457816712
- **Authorized official:** SOON BURNAM (OFFICER)
- **Authorized official phone:** (949) 540-1249

## Contact information

- **Practice address:** 23297 S POINTE DR STE 120, LAGUNA HILLS, CA 92653-1491
- **Practice address phone:** (702) 839-1133
- **Mailing address:** 1600 W BROADWAY RD STE 155, TEMPE, AZ 85282-1138
- **Mailing address phone:** (702) 839-1133

## Taxonomy

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

## Other

- **Enumeration date:** 01/31/2019
- **Last updated:** 02/06/2024