NPI 1538970090
Professional Portable Radiologic Services INC
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
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
Registry record
- NPI
- 1538970090
- 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.