# PORTABLE IMAGING SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831364405
- **Authorized official:** MR. KAVIAN O DONALDSON RT(R) (RADIOLOGY TECHNOLOGIST/MANAGER)
- **Authorized official phone:** 19177219418

## Contact information

- **Practice address:** 2770 YATES AVE, BRONX, NY 10469-5331
- **Practice address phone:** (917) 721-9418
- **Mailing address:** 2770 YATES AVE, BRONX, NY 10469-5331
- **Mailing address phone:** (917) 721-9418

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 247100000X | Radiologic Technologist | 051655 | NY | Yes |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 051655 | NY | — |

## Other

- **Enumeration date:** 04/24/2008
- **Last updated:** 04/25/2008