# PREMIUM MOBILE DIAGNOSTICS LLC

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

## Provider details

- **NPI number:** 1629583091
- **Authorized official:** ZINATH KHAN MBA (MANAGING MEMBER)
- **Authorized official phone:** (951) 272-3372

## Contact information

- **Practice address:** 11414 W PARK PL STE 202, MILWAUKEE, WI 53224-3500
- **Practice address phone:** (951) 272-3372
- **Mailing address:** 1014 LOWRY RANCH RD, CORONA, CA 92881-4735
- **Mailing address phone:** (951) 272-3372

## Taxonomy

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

## Other

- **Enumeration date:** 12/07/2017
- **Last updated:** 12/07/2017