PORTABLE MEDICAL RESOURCES LTD NPI 1619368834

NPI Information

  • NPI: 1619368834
  • Provider Name: PORTABLE MEDICAL RESOURCES LTD
  • Classification: Specialist/Technologist Cardiovascular - 246XC2903X
  • Specialization: Vascular Specialist
  • Entity Type: Organization
  • Address: 129 PHELPS AVE
    SUITE 406
    ROCKFORD, IL
    ZIP 61108
  • Phone: (815) 397-5554

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NPI Details

PORTABLE MEDICAL RESOURCES LTD is a vascular specialist specialist technologist cardiovascular in Rockford, IL. The provider is a vascular technologist, also known as a vascular sonographer, creates images of blood vessels and collects data that help physicians diagnose disorders affecting blood flow. Vascular technologists often evaluate blood flow and identify blocked arteries or blood clots. 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
1247100000XRadiologic TechnologistNo
2246XC2903XSpecialist/Technologist CardiovascularVascular SpecialistYes

What is NPI?

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

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