OrganizationActive
Professional Portable Radiologic Services, Inc.
NPI 1285873810 · Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · Glendale, AZ
Provider details
- NPI number
- 1285873810
- Entity type
- Organization
- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Bruce Johnson, Vp-Ao(303) 589-4149
- License
- MED6719-M3XR11 (AZ)
Specialties & taxonomies
- Portable X-ray and/or Other Portable Diagnostic Imaging SupplierPrimary335V00000XLicense MED6719-M3XR11 (AZ)
Suppliers
Practice location
6314 W Union Hills Dr
Glendale, AZ 85308-1001
Phone: (866) 895-2119
Fax: (952) 890-9025
Approximate (ZIP-level) locationGet directions
Mailing address
755 Cliff Rd E
Burnsville, MN 55337-1545
Other names (DBA / former)
- Other name
- Ppx
- Other name
- Professional Portable X-Ray
- Doing business as
- Professional Portable X-Ray, Inc.
Registry dates
- Enumerated
- 2009-02-04
- Last updated
- 2025-03-31
- Certified
- 2025-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.