Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Professional Portable Radiologic Services Inc

Organization Physiological Laboratory · NPI 1447061908

Professional Portable Radiologic Services Inc is a Physiological Laboratory in Lewes, Delaware. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

17527 Nassau Commons Blvd Ste 112
Lewes, DE 19958-6283
Phone: (866) 895-2120
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physiological Laboratory (primary) Taxonomy 293D00000X

Record details

NPI number1447061908
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Johnson — Vp/Ogc · (303) 589-4149
NPI enumeratedJanuary 15, 2025
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025
Mailing address3825 N Lafayette St, Denver, CO 80205-3316