# PORTA-MED, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Porta-Med
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881686798
- **Authorized official:** DONALD B BALLAH JR. (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (419) 663-1367

## Contact information

- **Practice address:** 12513 US HIGHWAY 250 N, MILAN, OH 44846-9546
- **Practice address phone:** (800) 589-2515
- **Practice address fax:** (419) 499-2664
- **Mailing address:** 12513 US HIGHWAY 250 N, MILAN, OH 44846-9546
- **Mailing address phone:** (800) 589-2515
- **Mailing address fax:** (419) 499-2664

## Taxonomy

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

## Other

- **Enumeration date:** 08/17/2005
- **Last updated:** 08/27/2007