Active NPI
Professional Portable Radiologic Services Inc.
Doing business as Dynamic Mobile Imaging
- Physiological Laboratory
- Tampa, FL
National Provider Identifier
1073341491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba DispatchHealth
- Emergency Medicine Physician
- Oklahoma City, OK
- NPI 1164920252
Member Of
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
- Prodigee Investment Group LLC
- Prodigy Health LLC
- Anet Proenza, APRN
- Professional Behavioral Services, Inc
- Professional Portable Radiologic Services Inc. (Professional Portable X-ray inc.)
- Professional Portable Radiologic Services Inc. (Dynamic Mobile Imaging)
- Professional Psychiatric Associates
- Professional Urgent Care Services
- Mario E Profet, MD, RDMS, RDCS, RPVI
- Daniele Profilo, M.S.
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.