Whalio Doctors

NPI 1447986989

Professional Portable Radiologic Services INC.

Organisation Physiological Laboratory Las Vegas, NV

Practice location

Address
3841 W Charleston Blvd STE 203, Las Vegas, NV 89102-1858
Phone
(866) 895-2119

Authorised official

Name
Bruce Allen Johnson
Title
Vice President & Secretary
Phone
(303) 589-4149

Registered specialties

Physiological Laboratory Primary
Laboratories Taxonomy 293D00000X

Registry record

NPI
1447986989
Entity type
Organization
NPI issued
27 Jul 2022
Record last updated
8 Aug 2023

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.