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Organization
PROFESSIONAL PORTABLE RADIOLOGIC SERVICES, INC.
Active
Organization
PROFESSIONAL PORTABLE RADIOLOGIC SERVICES, INC.
Active
Other names
PPX, Professional Portable X-ray., Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE ALLEN JOHNSON (VP-AO)
(303) 589-4149
Entity
Organization
Contact information
Practice address
2111 MAIN AVE E, UNIT A15, WEST FARGO, ND 58078-2216
(866) 895-2119
(952) 890-9025
Mailing address
755 CLIFF RD E, BURNSVILLE, MN 55337-1545
(612) 369-1991
(952) 890-9025
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
ND
Other
Enumeration date
04/27/2011
Last updated
08/08/2023
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