Organization Active NPI

Professional Portable Radiologic Services Inc.

Doing business as Dynamic Mobile Imaging

  • Physiological Laboratory
  • Tampa, FL
National Provider Identifier
1073341491
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
PROFESSIONAL PORTABLE RADIOLOGIC SERVICES INC.
Doing business as
Dynamic Mobile Imaging
Practice address
5421 Beaumont Center Blvd Ste 670
Tampa, FL 33634-5223
Phone
(866) 895-2119
NPI assigned
Jul 25, 2024
Last updated
Jul 7, 2025By the provider in NPPES
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
Physiological Laboratory 293D00000X NU Primary

Addresses

Primary practice location

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

Mailing address

3825 N Lafayette St
Denver, CO 80205-3316

Other names 1

  • Dynamic Mobile Imaging Doing business as

National Provider Directory

National Provider Directory

Member of 1

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

NPI Registry JSON

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1073341491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 N LAFAYETTE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802053316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5421 BEAUMONT CENTER BLVD STE 670",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345223",
            "telephone_number": "866-895-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PORTABLE RADIOLOGIC SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-25",
        "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": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Mobile Imaging",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dynamic Mobile Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

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.