Organization
PORTABLE DIAGNOSTIC IMAGING, INC.
Active
Other names
Premier Portable X-ray, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OWEN M SCHUNK (ADMINISTRATIVE MANAGER)
(612) 369-4775
Entity
Organization
Contact information
Practice address
6545 FRANCE AVE S, SUITE C 62A, EDINA, MN 55435-2131
(612) 369-4775
Mailing address
6545 FRANCE AVE S, SUITE C 62A, EDINA, MN 55435-2131
(612) 369-4775
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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