Organization
PROFESSIONAL PORTABLE RADIOLOGIC SERVICES INC
Active
Other names
PROFESSIONAL PORTABLE X-RAY, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE ALLEN JOHNSON (AO/OGC)
(303) 589-4149
Entity
Organization
Contact information
Practice address
949 MARKET ST STE 602, TACOMA, WA 98402-3693
(253) 271-9720
Mailing address
3825 N LAFAYETTE ST, DENVER, CO 80205-3316
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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