Professional Portable Radiologic Services INC

NPI #1447061908 in Lewes, Delaware

Provider Information

NPI Number: 1447061908
Entity Type: Organization
Organization Name: Professional Portable Radiologic Services INC
Primary Specialty: Physiological Laboratory
Enumeration Date: Jan 15, 2025
Last Updated: Jan 15, 2025

Practice Location

Address: 17527 NASSAU COMMONS BLVD STE 112
City: Lewes
State: Delaware
ZIP Code: 19958-6283
Phone: (866) 895-2120

Authorized Official

Name: BRUCE JOHNSON
Title: VP/OGC
Phone: (303) 589-4149

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physiological Laboratory	293D00000X	Primary

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