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 1861128316

Professional Portable Radiologic Services Inc is a Physiological Laboratory in Peoria, Arizona. 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

9132 W Cactus Rd Ste D
Peoria, AZ 85381-5131
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 number1861128316
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Johnson — Vice President · (303) 589-4149
NPI enumeratedJuly 27, 2022
Last updated in NPPESAugust 22, 2023
Certification dateAugust 22, 2023
Mailing address9132 W Cactus Rd Ste D, Peoria, AZ 85381-5131

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