Organization · Type 2 NPI

Professional Portable Radiologic Services Inc.

Physiological Laboratory · Tampa, FL

NPI number 1073341491 Active

Practice location

5421 Beaumont Center Blvd Ste 670
Tampa, FL 33634-5223

Call (866) 895-2119 Map

Mailing address

3825 N Lafayette St
Denver, CO 80205-3316

Specialties and licenses

Taxonomy	Code	License
Physiological Laboratory Primary	293D00000X	None listed

Physiological Laboratory: A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical labora…

2 other providers at this address

Other physiological laboratory providers in Tampa

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NPI record

NPI: 1073341491
Entity type: Organization (Type 2)
Issued: Jul 25, 2024
Last updated: Jul 7, 2025
Status: Active

Other names

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Dynamic Mobile Imaging · doing business as
Dynamic Mobile Imaging · doing business as

Authorized official

William Kramer
Chief Legal Officer
(215) 813-5940

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1073341491

Professional Portable Radiologic Services Inc.'s National Provider Identifier is 1073341491, issued on Jul 25, 2024. The primary taxonomy on file is Physiological Laboratory (293D00000X), and the practice location is in Tampa, FL. The record was last updated on Jul 7, 2025.