Organization · Type 2 NPI
Professional Portable Radiologic Services, Inc.
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · Superior, WI
Practice location
1423 N 8th St, Suite 114
Superior, WI 54880-6664
Fax (952) 890-9025
Mailing address
755 Cliff Rd E
Burnsville, MN 55337-1545
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Primary | 335V00000X | None listed |
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier: A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the service…
About NPI 1083941504
Professional Portable Radiologic Services, Inc.'s National Provider Identifier is 1083941504, issued on Nov 4, 2009. The primary taxonomy on file is Portable X-ray and/or Other Portable Diagnostic Imaging Supplier (335V00000X), and the practice location is in Superior, WI. The record was last updated on Jul 7, 2025.