Professional Portable Radiologic Services Inc.

NPI #1750017133 in Tampa, Florida

Provider Information

NPI Number
1750017133
Entity Type
Organization
Organization Name
Professional Portable Radiologic Services Inc.
Primary Specialty
Physiological Laboratory
Enumeration Date
Jul 27, 2022
Last Updated
Aug 8, 2023

Practice Location

Address
5421 BEAUMONT CENTER BLVD STE 670
City
Tampa
State
Florida
ZIP Code
33634-5223
Phone
(866) 895-2119

Authorized Official

Name
BRUCE ALLEN JOHNSON
Title
VICE PRESIDENT & SECRETARY
Phone
(303) 589-4149

Specialties & Taxonomy Codes

Specialty
Physiological Laboratory

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