# PROFESSIONAL PORTABLE RADIOLOGIC SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Professional Portable X-ray, PPX
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679140313
- **Authorized official:** BRUCE ALLEN JOHNSON (VP-AO)
- **Authorized official phone:** (303) 589-4149

## Contact information

- **Practice address:** 5885 GLENRIDGE DR STE 100, ATLANTA, GA 30328-5572
- **Practice address phone:** (866) 895-2119
- **Practice address fax:** (952) 890-9025
- **Mailing address:** 755 CLIFF RD E, BURNSVILLE, MN 55337-1545
- **Mailing address phone:** (952) 915-9779
- **Mailing address fax:** (952) 915-9597

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 06/10/2021
- **Last updated:** 08/08/2023