PREMIER DIAGNOSTIC IMAGING, INC. (NPI# 1750533469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750533469 |
| Entity Type | Organization |
| Organization Name | PREMIER DIAGNOSTIC IMAGING, INC. |
| Practice Address |
12800 Highway 55 Plymouth MN 55441-3840 |
| Practice Telephone | 7637468001 |
| Mailing Telephone | 7637468001 |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2008-10-14 |
| Authorized Official Name | KIM ALGOO (CEO) |
| Authorized Official Telephone | 6129641810 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
| Street Address |
12800 HIGHWAY 55 |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55441-3840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548413131 | Premier Diagonstic Imaging, Inc | Radiology | 12800 Highway 55, Plymouth, MN 55441-3840 | 2008-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689190019 | The Recovery Clinic LLC | Clinic/Center | 9800 Shelard Pkwy Ste 215, Plymouth, MN 55441 | 2017-08-17 |
| 1356887186 | Katherine Marlow Bell | Dentist | 2805 Campus Dr Ste 245, Plymouth, MN 55441 | 2017-01-18 |
| 1083069538 | Mercade Waldon | Home Health Aide | 3501 Xenium Lane, Plymouth, MN 55441 | 2016-05-03 |
| 1346645538 | Phs Westhealth, Inc | Skilled Nursing Facility | 2775 Campus Drive North, Plymouth, MN 55441 | 2014-10-30 |
| 1427453125 | Samuel David Fine | Pharmacist | 4070 Goldenrod Ln, Plymouth, MN 55441 | 2014-10-24 |
| 1548672538 | Scott Aaron Schmidt | Dentist | 2720 Annapolis Circle N, Suite A, Plymouth, MN 55441 | 2014-05-23 |
| 1831498633 | Comforide Transportation Services LLC | Non-emergency Medical Transport (VAN) | 9730 37th Pl N Suite 201, Plymouth, MN 55441 | 2011-03-18 |
| 1255669271 | Tammy Kae Mehlhaus | Physician Assistant | 2855 Campus Drive, Suite 570, Plymouth, MN 55441 | 2009-12-02 |
| 1164758199 | Stephen P. Boger, Dds, Pa | Dentist | 2720 Annapolis Circle, Suite A, Plymouth, MN 55441 | 2009-10-27 |
| 1093908360 | Endodontic Professionals Pa Plymouth Endodontics | Dentist | 3401 Hwy 169 N, Plymouth, MN 55441 | 2007-08-21 |
| Find all providers in zip 55441 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548461601 | Ultra-x Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 729 W Ann Arbor Trl, Plymouth, MI 48170-6225 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881038263 | Health Diagnostics Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22841 Zion Pkwy Nw, Bethel, MN 55005-9315 | 2013-04-29 |
| 1073560157 | Professional Portable Radiologic Services, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 755 Cliff Rd E, Burnsville, MN 55337-1545 | 2006-05-27 |
| 1215499553 | North Star Mobile X-ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6300 Shingle Creek Pkwy Ste 135, Minneapolis, MN 55430-2124 | 2019-04-04 |
| 1801130158 | Minnesota Medical Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 715 Florida Ave S, Suite 205, Golden Valley, MN 55426-1719 | 2012-11-26 |
| 1366747040 | Professional Portable Radiologic Service, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4801 W 81st St, Bloomington, MN 55437-1111 | 2011-01-11 |
| 1568604585 | Portable Diagnostic Imaging, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6545 France Ave S, Suite C 62a, Edina, MN 55435-2131 | 2009-04-06 |
| 1013092196 | Professional Portable Radiologic Services, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 755 Cliff Rd E, Burnsville, MN 55337-1545 | 2006-10-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.