Portable Diagnostic Imaging, Inc.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

PORTABLE DIAGNOSTIC IMAGING, INC.

Practice address

6545 France Ave S
Suite C 62a
Edina, MN 55435-2131

Phone

(612) 369-4775

NPI assigned

Apr 8, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Owen M Schunk

Title

Administrative Manager

Phone

(612) 369-4775

Specialties & licenses 1

Addresses

Other names 1

• Premier Portable X-ray, Inc. Other name

Tax ID family

Portable Diagnostic Imaging Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Portable Diagnostic Imaging, Inc.

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Edina, MN
  • NPI 1568604585
  NPD tax ID
• Portable Diagnostic Imaging

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Glendale, AZ
  • NPI 1396988200
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239148800000",
    "number": "1447493390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6545 FRANCE AVE S",
            "address_2": "SUITE C 62A",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352131",
            "telephone_number": "612-369-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545 FRANCE AVE S",
            "address_2": "SUITE C 62A",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352131",
            "telephone_number": "612-369-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTABLE DIAGNOSTIC IMAGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-08",
        "last_updated": "2009-04-08",
        "status": "A",
        "authorized_official_last_name": "SCHUNK",
        "authorized_official_first_name": "OWEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATIVE MANAGER",
        "authorized_official_telephone_number": "612-369-4775",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Portable X-ray, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Virginia Pollen, DPT
• Nancy J Poole, CNP
• Joyce Popp, L.P.
• Melanie Belleau Popp, CCC-A
• Pordford, Inc.
• Portable Diagnostic Imaging, Inc.
• Jean L Porter, MD
• Katherine Porter
• Lisa A Posey, MD
• Bryan David Post, M.D.

• Medical Specialty Clinic/Center in Edina, MN
• Providers in Edina, MN by specialty
• Medical Specialty Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.