Active NPI
Professional Portable Radiologic Services, Inc.
Doing business as Professional Portable X-ray, Inc.
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Las Vegas, NV
National Provider Identifier
1366747040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Legal business name
- PROFESSIONAL PORTABLE RADIOLOGIC SERVICES, INC.
- Doing business as
- Professional Portable X-ray, Inc.
- Practice address
- 376 E Warm Springs Rd Ste 110
Las Vegas, NV 89119-4241 - Phone
- (866) 895-2120
- NPI assigned
- Jan 11, 2011
- Last updated
- Mar 31, 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
- Bruce Allen Johnson
- Title
- VP - Ao
- Phone
- (303) 589-4149
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | NU | Primary |
Addresses
Primary practice location
376 E Warm Springs Rd Ste 110
Las Vegas, NV 89119-4241
Mailing address
755 Cliff Rd E Ste 200
Burnsville, MN 55337-1536
Phone (866) 895-2119
Other practice location 1
3841 W Charleston Blvd Ste 203
Las Vegas, NV 89102-1858
Phone (952) 915-9779
Other names 2
- Professional Portable X-ray, Inc.
- PPX
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": "1294704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743379200000",
"number": "1366747040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 CLIFF RD E STE 200",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553371536",
"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": "376 E WARM SPRINGS RD STE 110",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891194241",
"telephone_number": "866-895-2120"
}
],
"practiceLocations": [
{
"address_1": "3841 W Charleston Blvd Ste 203",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891021858",
"country_code": "US",
"telephone_number": "952-915-9779",
"fax_number": "952-915-9795",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PROFESSIONAL PORTABLE RADIOLOGIC SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-11",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "VP - AO",
"authorized_official_telephone_number": "303-589-4149"
},
"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": "PPX",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Las Vegas, NV
- Professional Healthcare Staffing Inc (Professional Home Health Services)
- Professional Medical Management, Inc.
- Professional Medical Services
- Professional Nursing Consultant Services Inc.
- Professional Portable Radiologic Services Inc.
- Professional Recovery Network (Nvphp)
- Professional RX Pharmacy LLC (Professional Rx Pharmacy)
- Professional Wound Specialists LLC
- Professionalpharmacistllc
- Joseph Profeta, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.