Organization
PREMIER DIAGNOSTIC IMAGING SOLUTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WILLIAM SALDANHA (PRESIDENT)
(708) 987-3795
Entity
Organization
Contact information
Practice address
9680 GOLF RD FL 2, DES PLAINES, IL 60016-1522
(847) 699-7570
(847) 296-5686
Mailing address
PO BOX 68726, SCHAUMBURG, IL 60168-0726
(847) 699-7570
(847) 296-5686
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635120
BC/BS PROVIDER NUMBER
IL
Enumeration date
10/29/2006
Last updated
06/14/2012
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