PROFESSIONAL PORTABLE RADIOLOGIC SERVICES INC. NPI 1083941504

NPI Information

  • NPI: 1083941504
  • Provider Name: PROFESSIONAL PORTABLE RADIOLOGIC SERVICES, INC.
  • Classification: Portable X-ray and/or Other Portable Diagnostic Imaging Supplier - 335V00000X
  • Entity Type: Organization
  • :
  • Address: 1423 N 8TH ST
    SUITE 114
    SUPERIOR, WI
    ZIP 54880
  • Phone: (952) 915-9779

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NPI Details

PROFESSIONAL PORTABLE RADIOLOGIC SERVICES, INC. is a portable x ray and or other portable diagnostic imaging supplier in Superior, WI. The provider is a supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. PROFESSIONAL PORTABLE RADIOLOGIC SERVICES, INC. NPI is 1083941504. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

1423 N 8TH ST
SUITE 114
SUPERIOR, WI
ZIP 54880-664
Phone: (952) 915-9779
Fax: (952) 890-9025

The provider's authorized official is William Kramer .
The authorized official title is Chief Legal Officer and has the following contact phone number (215) 813-5940.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Set-up portable x-ray equipment (HCPCS:Q0092)
  • Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen (HCPCS:R0070)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen (HCPCS:R0075)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)

The enumeration date for this NPI number is 11/4/2009 and was last updated on 7/7/2025.

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
1335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging SupplierWISCONSINYes

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: 11/21/2025

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