OrganizationActive
Professional Portable Radiologic Services, Inc.
NPI 1336716075 · Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · Randolph, NJ
Provider details
- NPI number
- 1336716075
- Entity type
- Organization
- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging SupplierSuppliers
- Authorized official
- Bruce Johnson, Vp - Ao
Practice location
540 State Route 10 Ste 1
Randolph, NJ 07869-2033
Phone: (866) 895-2119
Fax: (952) 915-9597
Mailing address
755 Cliff Rd E
Burnsville, MN 55337-1545
Registry dates
- Enumerated
- 2021-06-10
- Last updated
- 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.