# PREMIER DIAGNOSTIC IMAGING SOLUTIONS, INC.

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

## Provider details

- **NPI number:** 1538245857
- **Authorized official:** JOHN WILLIAM SALDANHA (PRESIDENT)
- **Authorized official phone:** (708) 987-3795

## Contact information

- **Practice address:** 9680 GOLF RD FL 2, DES PLAINES, IL 60016-1522
- **Practice address phone:** (847) 699-7570
- **Practice address fax:** (847) 296-5686
- **Mailing address:** PO BOX 68726, SCHAUMBURG, IL 60168-0726
- **Mailing address phone:** (847) 699-7570
- **Mailing address fax:** (847) 296-5686

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 293D00000X | Physiological Laboratory | — | NULL | Yes |

## Other

- **Enumeration date:** 10/29/2006
- **Last updated:** 06/14/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01635120 | BC/BS PROVIDER NUMBER | IL |