Organization
PREMIER MOBILE IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER REESE JOHNSON (CEO)
(812) 219-6562
Entity
Organization
Contact information
Practice address
6323 QUAILEY DR SE, GRAND RAPIDS, MI 49546-7113
(812) 219-6562
Mailing address
6323 QUAILEY DR SE, GRAND RAPIDS, MI 49546-7113
(812) 219-6562
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
—
—
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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