OrganizationActive
Professional Portable Radiologic Services, Inc.
NPI 1598056384 · Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · West Fargo, ND
Provider details
- NPI number
- 1598056384
- Entity type
- Organization
- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging SupplierSuppliers
- Authorized official
- Bruce Johnson, Vp-Ao
Practice location
2111 Main Ave E
Unit A15
West Fargo, ND 58078-2216
Phone: (866) 895-2119
Fax: (952) 890-9025
Mailing address
755 Cliff Rd E
Burnsville, MN 55337-1545
Registry dates
- Enumerated
- 2011-04-27
- Last updated
- 2023-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.