OrganizationActive
Professional Portable Radiologic Services Inc.
NPI 1750017133 · Physiological Laboratory · Tampa, FL
Professional Portable Radiologic Services Inc. is a Physiological Laboratory organization in Tampa, FL (NPI 1750017133).
Provider details
- NPI number
- 1750017133
- Entity type
- Organization
- Primary specialty
- Physiological LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Bruce Johnson, Vice President & Secretary(303) 589-4149
Specialties & taxonomies
Laboratories
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5421 Beaumont Center Blvd Ste 670
Tampa, FL 33634-5223
Phone: (866) 895-2119
Approximate (ZIP-level) locationGet directions
Mailing address
5421 Beaumont Center Blvd Ste 670
Tampa, FL 33634-5223
Other names (DBA / former)
- Doing business as
- Dynamic Mobile Imaging
- Doing business as
- Dynamic Mobile Imaging
Registry dates
- Enumerated
- 2022-07-27
- Last updated
- 2023-08-08
- Certified
- 2023-08-08
Frequently asked questions
- What is Professional Portable Radiologic Services Inc.'s NPI number?
- Professional Portable Radiologic Services Inc.'s National Provider Identifier (NPI) is 1750017133, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Professional Portable Radiologic Services Inc.?
- Professional Portable Radiologic Services Inc. is classified in the NPPES registry as Physiological Laboratory (Laboratories).
- Where is Professional Portable Radiologic Services Inc. located?
- Professional Portable Radiologic Services Inc.'s practice location on file with NPPES is 5421 Beaumont Center Blvd Ste 670, Tampa, FL 33634-5223.
- What is Professional Portable Radiologic Services Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Professional Portable Radiologic Services Inc. is (866) 895-2119.
- Who is the authorized official for Professional Portable Radiologic Services Inc.?
- The authorized official listed on Professional Portable Radiologic Services Inc.'s NPPES record is Bruce Johnson, Vice President & Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Professional Portable Radiologic Services Inc.'s NPI active?
- Yes — Professional Portable Radiologic Services Inc.'s NPI (1750017133) is active in the NPPES registry as of the last update on 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.