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 1447986989

Professional Portable Radiologic Services Inc is a Physiological Laboratory in Las Vegas, Nevada. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3841 W Charleston Blvd Ste 203
Las Vegas, NV 89102-1858
Phone: (866) 895-2119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physiological Laboratory (primary) Taxonomy 293D00000X

Record details

NPI number1447986989
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Johnson — Vice President & Secretary · (303) 589-4149
NPI enumeratedJuly 27, 2022
Last updated in NPPESAugust 8, 2023
Certification dateAugust 8, 2023
Mailing address3841 W Charleston Blvd Ste 203, Las Vegas, NV 89102-1858

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