Organization
PROFESSIONAL PORTABLE RADIOLOGIC SERVICES INC.
Active
Other names
Dynamic Mobile Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE ALLEN JOHNSON (VICE PRESIDENT & SECRETARY)
(303) 589-4149
Entity
Organization
Contact information
Practice address
5421 BEAUMONT CENTER BLVD STE 670, TAMPA, FL 33634-5223
(866) 895-2119
Mailing address
5421 BEAUMONT CENTER BLVD STE 670, TAMPA, FL 33634-5223
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
07/27/2022
Last updated
08/08/2023
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