Organization
PROFESSIONAL PORTABLE RADIOLOGIC SERVICES, INC.
Active
Organization
PROFESSIONAL PORTABLE RADIOLOGIC SERVICES, INC.
Active
Other names
Professional Portable X-ray, PPX
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE ALLEN JOHNSON (VP-AO)
(303) 589-4149
Entity
Organization
Contact information
Practice address
5885 GLENRIDGE DR STE 100, ATLANTA, GA 30328-5572
(866) 895-2119
(952) 890-9025
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
06/10/2021
Last updated
08/08/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up