Organization
PREMIUM MOBILE DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZINATH KHAN MBA (MANAGING MEMBER)
(951) 272-3372
Entity
Organization
Contact information
Practice address
11414 W PARK PL STE 202, MILWAUKEE, WI 53224-3500
(951) 272-3372
Mailing address
1014 LOWRY RANCH RD, CORONA, CA 92881-4735
(951) 272-3372
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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