PROFESSIONAL PORTABLE RADIOLOGIC SERVICES INC NPI 1447061908

NPI Information

  • NPI: 1447061908
  • Provider Name: PROFESSIONAL PORTABLE RADIOLOGIC SERVICES INC
  • Classification: Physiological Laboratory - 293D00000X
  • Entity Type: Organization
  • Address: 17527 NASSAU COMMONS BLVD STE 112
    LEWES, DE
    ZIP 19958
  • Phone: (866) 895-2120

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NPI Details

PROFESSIONAL PORTABLE RADIOLOGIC SERVICES INC is a physiological laboratory in Lewes, DE. 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 1447061908. The provider is registered as an organization entity type.

The provider's business location address is:

17527 NASSAU COMMONS BLVD STE 112
LEWES, DE
ZIP 19958-283
Phone: (866) 895-2120

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

The enumeration date for this NPI number is 1/15/2025 and was last updated on 1/15/2025.

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
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: 11/21/2025

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