# PROFESSIONAL PORTABLE RADIOLOGIC SERVICES, INC.

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

## Provider details

- **NPI number:** 1689813255
- **Authorized official:** BRUCE ALLEN JOHNSON (VP-AO)
- **Authorized official phone:** (303) 589-4149

## Contact information

- **Practice address:** 421 W BROADWAY STE 403, COUNCIL BLUFFS, IA 51503-9046
- **Practice address phone:** (866) 895-2120
- **Mailing address:** 755 CLIFF RD E, BURNSVILLE, MN 55337-1545
- **Mailing address phone:** (612) 369-1991
- **Mailing address fax:** (952) 890-9025

## Taxonomy

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

## Other

- **Enumeration date:** 02/05/2009
- **Last updated:** 03/31/2025