PROFESSIONAL PORTABLE RADIOLOGIC SERVICES INC. NPI 1073341491

NPI Information

  • NPI: 1073341491
  • Provider Name: PROFESSIONAL PORTABLE RADIOLOGIC SERVICES INC.
  • Classification: Physiological Laboratory - 293D00000X
  • Entity Type: Organization
  • Address: 5421 BEAUMONT CENTER BLVD STE 670
    TAMPA, FL
    ZIP 33634
  • Phone: (866) 895-2119

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NPI Details

PROFESSIONAL PORTABLE RADIOLOGIC SERVICES INC. is a physiological laboratory in Tampa, FL. The provider is a laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. PROFESSIONAL PORTABLE RADIOLOGIC SERVICES INC. NPI is 1073341491. The provider is registered as an organization entity type.

The provider's business location address is:

5421 BEAUMONT CENTER BLVD STE 670
TAMPA, FL
ZIP 33634-223
Phone: (866) 895-2119

The provider's authorized official is Bruce Johnson .
The authorized official title is Authorized Official and has the following contact phone number (303) 589-4149.

The enumeration date for this NPI number is 7/25/2024 and was last updated on 7/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1293D00000XPhysiological LaboratoryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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