PORTABLE MEDICAL RESOURCES LTD NPI 1619368834

NPI Information

NPI: 1619368834
Provider Name: PORTABLE MEDICAL RESOURCES LTD
Classification: Specialist/Technologist Cardiovascular - 246XC2903X
Entity Type: Organization

Specialization: Vascular Specialist

Address:
129 PHELPS AVE
SUITE 406
ROCKFORD, IL
ZIP 61108
Phone: (815) 397-5554
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PORTABLE MEDICAL RESOURCES LTD is a vascular specialist specialist technologist cardiovascular in Rockford, IL. PORTABLE MEDICAL RESOURCES LTD NPI is 1619368834. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

129 PHELPS AVE
SUITE 406
ROCKFORD, IL
ZIP 61108-453
Phone: (815) 397-5554
Fax: (815) 550-0061

The provider's authorized official is Martin Urban .
The authorized official title is President and has the following contact phone number (815) 397-5554.

The enumeration date for this NPI number is 2/10/2015 and was last updated on 2/10/2015.

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
1	247100000X	Radiologic Technologist				No
2	246XC2903X	Specialist/Technologist Cardiovascular	Vascular Specialist			Yes

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: 11/14/2023

NPI Synchronization or Removal

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