NPI 1861128316

Professional Portable Radiologic Services INC.

Organisation Physiological Laboratory Peoria, AZ

Practice location

Address: 9132 W Cactus Rd STE D, Peoria, AZ 85381-5131
Phone: (866) 895-2119

Authorised official

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

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

Other Physiological Laboratory providers in Arizona →

Registry record

NPI: 1861128316
Entity type: Organization
NPI issued: 27 Jul 2022
Record last updated: 22 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.