Organization
PROFESSIONAL PORTABLE RADIOLOGIC SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE JOHNSON (VP/OGC)
(303) 589-4149
Entity
Organization
Contact information
Practice address
17527 NASSAU COMMONS BLVD STE 112, LEWES, DE 19958-6283
(866) 895-2120
Mailing address
3825 N LAFAYETTE ST, DENVER, CO 80205-3316
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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