Active NPI
Professional Portable Radiologic Services Inc
- Physiological Laboratory
- Columbia, MD
National Provider Identifier
1235987850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- PROFESSIONAL PORTABLE RADIOLOGIC SERVICES INC
- Practice address
- 6700 Alexander Bell Dr Ste 200
Columbia, MD 21046-2105 - Phone
- (664) 839-7298
- NPI assigned
- May 8, 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
6700 Alexander Bell Dr Ste 200
Columbia, MD 21046-2105
Mailing address
3825 N Lafayette St
Denver, CO 80205-3316
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": "1715126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751846400000",
"number": "1235987850",
"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": "6700 ALEXANDER BELL DR STE 200",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210462105",
"telephone_number": "664-839-7298"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL PORTABLE RADIOLOGIC SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-08",
"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": []
}
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- Progressive Physical Therapy, LLC (PHOENIX Rehabilitation and Health Services, LLC)
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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.