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
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