Premier Imaging Solutions Norcal LLC

Primary specialty

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

Legal business name

PREMIER IMAGING SOLUTIONS NORCAL LLC

Practice address

4630 Northgate Blvd Ste 150
Sacramento, CA 95834-1141

Phone

(877) 211-4523

NPI assigned

Jun 16, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Jamie Wood

Title

Quality and Compliance Director

Phone

(605) 484-0188

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1891470977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 N 16TH ST STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167125",
            "telephone_number": "605-484-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 NORTHGATE BLVD STE 150",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341141",
            "telephone_number": "877-211-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER IMAGING SOLUTIONS NORCAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "QUALITY AND COMPLIANCE DIRECTOR",
        "authorized_official_telephone_number": "605-484-0188",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.