Premium Mobile Diagnostics LLC

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

PREMIUM MOBILE DIAGNOSTICS LLC

Practice address

11414 W Park PL Ste 202
Milwaukee, WI 53224-3500

Phone

(951) 272-3372

NPI assigned

Dec 7, 2017

Last updated

Dec 7, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Zinath Khan, MBA

Title

Managing Member

Phone

(951) 272-3372

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512604800000",
    "number": "1629583091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 LOWRY RANCH RD",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928814735",
            "telephone_number": "951-272-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11414 W PARK PL STE 202",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532243500",
            "telephone_number": "951-272-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM MOBILE DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-07",
        "last_updated": "2017-12-07",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ZINATH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "951-272-3372",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premiere Home Care LLC
• Premiere Medical LLC
• Premise Health of Wisconsin Medical SC (Miller Health and Fitness Center)
• Premise Health of Wisconsin Medical SC (Mutual Health Center Downtown)
• Premium Home Health Care Inc.
• Premuim Home Health Care Inc
• Pamela Marie Prenger, RDH
• Tina Prentice, RDH
• Prepping for Parenthood
• Kenneth Presberg, MD

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; 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.