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PROFESSIONAL PORTABLE RADIOLOGIC SERVICES INC. NPI 1083941504


NPI Information

NPI: 1083941504
Provider Name: PROFESSIONAL PORTABLE RADIOLOGIC SERVICES, INC.

Doing Business As: PROFESSIONAL PORTABLE X-RAY, INC.

Classification: Portable X-ray and/or Other Portable Diagnostic Imaging Supplier - 335V00000X
Entity Type: Organization
Address:
1423 N 8TH ST
SUITE 114
SUPERIOR, WI
ZIP 54880
Phone: (952) 915-9779
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PROFESSIONAL PORTABLE RADIOLOGIC SERVICES, INC. is a portable x ray and or other portable diagnostic imaging supplier in Superior, WI. The provider is a supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. PROFESSIONAL PORTABLE RADIOLOGIC SERVICES, INC. NPI is 1083941504. The provider is registered as an organization entity type.
The provider Is Doing Business As Professional Portable X-ray, Inc..

The provider's business location address is:

1423 N 8TH ST
SUITE 114
SUPERIOR, WI
ZIP 54880-664
Phone: (952) 915-9779
Fax: (952) 890-9025

The provider's authorized official is Bruce Allen Johnson .
The authorized official title is Vp-ao and has the following contact phone number (303) 589-4149.

The enumeration date for this NPI number is 11/4/2009 and was last updated on 8/8/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging SupplierWISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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