Organization · Type 2 NPI

Professional Portable Radiologic Services, Inc.

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · Randolph, NJ

NPI number 1336716075 Active

Practice location

540 State Route 10 Ste 1
Randolph, NJ 07869-2033

Fax (952) 915-9597

Mailing address

755 Cliff Rd E
Burnsville, MN 55337-1545

Specialties and licenses

TaxonomyCodeLicense
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Primary 335V00000XNone 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 1336716075

Professional Portable Radiologic Services, Inc.'s National Provider Identifier is 1336716075, issued on Jun 10, 2021. The primary taxonomy on file is Portable X-ray and/or Other Portable Diagnostic Imaging Supplier (335V00000X), and the practice location is in Randolph, NJ. The record was last updated on Mar 31, 2025.