Professional Portable Radiologic Services Inc.

NPI #1861128316 in Peoria, Arizona

Provider Information

NPI Number
1861128316
Entity Type
Organization
Organization Name
Professional Portable Radiologic Services Inc.
Primary Specialty
Physiological Laboratory
Enumeration Date
Jul 27, 2022
Last Updated
Aug 22, 2023

Practice Location

Address
9132 W CACTUS RD STE D
City
Peoria
State
Arizona
ZIP Code
85381-5131
Phone
(866) 895-2119

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Physiological Laboratory

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