Professional Portable X-Ray, Inc.
LBN: Professional Portable Radiologic Services, Inc.
Professional Portable X-Ray, Inc. is an health care organization with primary practice located at 755 Cliff Rd E , Burnsville MN 55337-1545. The organization recently has only one registered license in Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier, which is considered as the primary health care specialty.
Professional Portable Radiologic Services, Inc. can be contacted via phone (952) 915-9779, or through Johnson, Bruce Allen via phone (303) 589-4149.
Contact Information
Primary practice address
755 Cliff Rd E
Burnsville MN 55337-1545
Phone: (952) 915-9779
Fax: (952) 890-9025
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X |
Profile Details
| NPI number | 1073560157 |
|---|---|
| LBN Legal business name | Professional Portable Radiologic Services, Inc. |
| DBA Doing business as | Professional Portable X-Ray, Inc. |
| Authorized official | Johnson, Bruce Allen |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 27th, 2006 |
| Last updated | Aug 8th, 2023 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073560157 | NPPES |
| Minnesota | MEDICAID | 300267500 |
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