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

Professional Portable Radiologic Services, Inc

Organization Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · NPI 1790489326

Professional Portable Radiologic Services, Inc is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Ormond Beach, Florida. Registered with an NPI since 2023.

In the registry since
2023
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

1400 Hand Ave Ste A
Ormond Beach, FL 32174-8195
Phone: (303) 500-1518
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier (primary) Taxonomy 335V00000X

Record details

NPI number1790489326
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Johnson — Vp-Ao · (303) 589-4149
Other names Dynamic Mobile Imaging
NPI enumeratedMarch 28, 2023
Last updated in NPPESAugust 8, 2023
Certification dateAugust 8, 2023
Mailing address3825 N Lafayette St, Denver, CO 80205-3316

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