NPI 1336716075
Professional Portable Radiologic Services, INC.
Practice location
- Address
- 540 State Route 10 STE 1, Randolph, NJ 07869-2033
- Phone
- (866) 895-2119
- Fax
- (952) 915-9597
- Mailing address
- 755 Cliff Rd E, Burnsville, MN 55337-1545
Authorised official
- Name
- Bruce Allen Johnson
- Title
- Vp - Ao
- Phone
- (303) 589-4149
Registered specialties
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
Registry record
- NPI
- 1336716075
- Entity type
- Organization
- NPI issued
- 10 Jun 2021
- Record last updated
- 31 Mar 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.