Organization
PREMIERESCAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY LYNN SEMIDES (DIRECTOR OF OPERATIONS)
(408) 217-2803
Entity
Organization
Contact information
Practice address
2324 MONTPELIER DR STE 7, SAN JOSE, CA 95116-1612
(669) 263-6344
(408) 708-4454
Mailing address
2324 MONTPELIER DR STE 7, SAN JOSE, CA 95116-1612
(669) 263-6344
(408) 708-4454
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
G59447
CA
Other
Enumeration date
08/21/2006
Last updated
02/28/2018
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