| NPI | 1841301231 |
|---|---|
| Former Legal Business Name | PREMIER HEALTHSCAN LLC |
| Entity Type | Organization |
| Authorized Contact | DAVID T MAI Medical Director President 714-968-8998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: CA G63683) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging |
| 2085N0904X Radiology, Nuclear Radiology | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2014-01-08 |