Active NPI
Portable Diagnostic Imaging, Inc.
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Edina, MN
National Provider Identifier
1568604585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Legal business name
- PORTABLE DIAGNOSTIC IMAGING, INC.
- Practice address
- 6545 France Ave S
Suite C 62a
Edina, MN 55435-2131 - Phone
- (651) 470-1815
- NPI assigned
- Apr 6, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James Michael McNamee
- Title
- Ceo
- Phone
- (651) 470-1815
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | MN | Primary |
Addresses
Primary practice location
6545 France Ave S
Suite C 62a
Edina, MN 55435-2131
Mailing address
6545 France Ave S
Suite C 62a
Edina, MN 55435-2131
Phone (612) 369-4775
Other names 1
- Premier Portable X-ray, Inc.
National Provider Directory
National Provider Directory- Tax ID family
- Portable Diagnostic Imaging Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Medical Specialty Clinic/Center
- Edina, MN
- NPI 1447493390
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Glendale, AZ
- NPI 1396988200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1238976000000",
"number": "1568604585",
"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": "651-470-1815"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PORTABLE DIAGNOSTIC IMAGING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-06",
"last_updated": "2009-04-06",
"status": "A",
"authorized_official_last_name": "MCNAMEE",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "651-470-1815",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Premier Portable X-ray, Inc.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.