Professional Portable Radiologic Services, Inc.

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

PROFESSIONAL PORTABLE RADIOLOGIC SERVICES, INC.

Doing business as

Professional Portable X-ray, Inc.

Practice address

8750 Frederick St Ste 8746
Omaha, NE 68124-3061

Phone

(866) 895-2119

Fax

(952) 890-9025

NPI assigned

Feb 11, 2009

Last updated

Jul 7, 2025By the provider in NPPES

Organization subpart

No

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

Addresses

Other names 2

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154560373. Details of each certification follow.

• CCN 28X0009809 Portable X-ray supplier · Active · Name & address match · Details

Portable X-ray supplier certification: CCN 28X0009809

Legal name

PROFESSIONAL PORTABLE X-RAY

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

Jul 12, 2017

Last certification

Apr 10, 2023

Ownership / control type

Corporation

Facility address

8750 Frederick St, Suite 8746
Omaha, NE 68124

Member of 1

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

• True North Health Navigation LLC

  dba DispatchHealth

  • Emergency Medicine Physician
  • Oklahoma City, OK
  • NPI 1164920252

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1154560373",
    "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": "866-895-2119",
            "fax_number": "952-890-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8750 FREDERICK ST STE 8746",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243061",
            "telephone_number": "866-895-2119",
            "fax_number": "952-890-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PORTABLE RADIOLOGIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Portable X-ray, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Professional Portable X-ray, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PPX",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Omaha, NE
• Providers in Omaha, NE by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Nebraska

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.