# PROFESSIONAL PORTABLE RADIOLOGIC SERVICES INC.

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

## Provider details

- **NPI number:** 1831869023
- **Authorized official:** BRUCE ALLEN JOHNSON (VP-AO)
- **Authorized official phone:** (303) 589-4149

## Contact information

- **Practice address:** 3825 N LAFAYETTE ST, DENVER, CO 80205-3316
- **Practice address phone:** (303) 500-1518
- **Mailing address:** 3827 N LAFAYETTE ST, DENVER, CO 80205-3339

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 293D00000X | Physiological Laboratory | — | NULL | Yes |

## Other

- **Enumeration date:** 09/17/2021
- **Last updated:** 03/31/2025