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

2111 Main Ave E
Unit A15
West Fargo, ND 58078-2216

Phone

(866) 895-2119

Fax

(952) 890-9025

NPI assigned

Apr 27, 2011

Organization subpart

No

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

Addresses

Other names 2

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

Member of 1

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

• True North Health Navigation LLC

  • Emergency Medicine Physician
  • Denver, CO
  • NPI 1740622133

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abbas A Chamsuddin, M.D.

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1578539557
  NPD (past)

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1598056384",
    "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": "612-369-1991",
            "fax_number": "952-890-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 MAIN AVE E",
            "address_2": "UNIT A15",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580782216",
            "telephone_number": "866-895-2119",
            "fax_number": "952-890-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PORTABLE RADIOLOGIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-27",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "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": "ND",
            "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"
        }
    ]
}

• Christian Jalen Pratt, OD
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• Shainee Price
• Tracy Price, RN
• Priced Right Optical
• Sarah Prom, LPC
• Providence Home Care L.L.C
• Providence Home Care L.L.C
• Stephani Puckett
• Katharine Rhonda Radermacher, MS,CCC-SLP

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in West Fargo, ND
• Providers in West Fargo, ND by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.