Organization Active NPI

Professional Portable Radiologic Services, Inc.

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Burnsville, MN
National Provider Identifier
1013092196
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
Legal business name
PROFESSIONAL PORTABLE RADIOLOGIC SERVICES, INC.
Practice address
755 Cliff Rd E
Burnsville, MN 55337-1545
Phone
(952) 915-9779
Fax
(952) 890-9025
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William Kramer
Title
Chief Legal Officer
Phone
(215) 813-5940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X Primary

Addresses

Primary practice location

755 Cliff Rd E
Burnsville, MN 55337-1545

Mailing address

755 Cliff Rd E
Burnsville, MN 55337-1545
Phone (952) 915-9779

Other identifiers 2

IdentifierTypeStateIssuer
886487000MedicaidMN
P00769493OtherMNMEDICARE RR

Other names 2

  • Professional Portable X-ray, Inc. Doing business as
  • PPX Other name

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

7026 Old Katy Rd
Ste 276
Houston, TX 77024
Phone (713) 358-0562

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1013092196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 CLIFF RD E",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371545",
            "telephone_number": "952-915-9779",
            "fax_number": "952-890-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 CLIFF RD E",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371545",
            "telephone_number": "952-915-9779",
            "fax_number": "952-890-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PORTABLE RADIOLOGIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CHIEF LEGAL OFFICER",
        "authorized_official_telephone_number": "215-813-5940"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "886487000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00769493",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Portable X-ray, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PPX",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.