NPI 1447061908

Professional Portable Radiologic Services INC

Organisation Physiological Laboratory Lewes, DE

Practice location

Address: 17527 Nassau Commons Blvd STE 112, Lewes, DE 19958-6283
Phone: (866) 895-2120
Mailing address: 3825 N Lafayette St, Denver, CO 80205-3316

Authorised official

Name: Bruce Johnson
Title: Vp/Ogc
Phone: (303) 589-4149

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

Other Physiological Laboratory providers in Delaware →

Registry record

NPI: 1447061908
Entity type: Organization
NPI issued: 15 Jan 2025
Record last updated: 15 Jan 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.