NPI 1679140313
Professional Portable Radiologic Services, INC.
Practice location
- Address
- 5885 Glenridge Dr STE 100, Atlanta, GA 30328-5572
- Phone
- (866) 895-2119
- Fax
- (952) 890-9025
- 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
- 1679140313
- Entity type
- Organization
- NPI issued
- 10 Jun 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.