Organization
PROFESSIONAL PORTABLE RADIOLOGIC SERVICES INC.
Active
Other names
Professional Portable X-ray
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE ALLEN JOHNSON (VP-AO)
(303) 589-4149
Entity
Organization
Contact information
Practice address
3825 N LAFAYETTE ST, DENVER, CO 80205-3316
(866) 895-9779
(952) 915-9597
Mailing address
755 CLIFF RD E, BURNSVILLE, MN 55337-1545
(952) 915-9779
(952) 915-9597
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
11/10/2021
Last updated
08/08/2023
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