Organization
PROFESSIONAL PORTABLE RADIOLOGIC SERVICES, INC
Active
Other names
Dynamic Mobile Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE ALLEN JOHNSON (VP-AO)
(303) 589-4149
Entity
Organization
Contact information
Practice address
1400 HAND AVE STE A, ORMOND BEACH, FL 32174-8195
(303) 500-1518
Mailing address
3825 N LAFAYETTE ST, DENVER, CO 80205-3316
(303) 500-1518
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
03/28/2023
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