NPI 1639835069
Professional Portable Radiologic Services INC.
Practice location
- Address
- 3825 N Lafayette St, Denver, CO 80205-3316
- Phone
- (866) 895-9779
- 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
- 1639835069
- Entity type
- Organization
- NPI issued
- 10 Nov 2021
- 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.