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Professional Portable Radiologic Services, Inc.
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Superior, Wisconsin
NPI 1083941504

Professional Portable Radiologic Services, Inc. is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier based in Burnsville, WI. Professional Portable Radiologic Services, Inc. practices in Superior, WI. The NPI Number for Professional Portable Radiologic Services, Inc. is 1083941504 and holds a License No. (Wisconsin).

The current practice location address for Professional Portable Radiologic Services, Inc. is 1423 N 8Th St, Superior, WI and can be reached out via phone at 952-915-9779 and via fax at 952-890-9025.

Location: 1423 N 8Th St, Superior, WI, 55337-1545
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083941504
Provider Name
Professional Portable Radiologic Services, Inc.
Credential
Provider Entity Type
Organization
Address
1423 N 8Th St, Superior, WI, 55337-1545
Phone Number
952-915-9779
Fax Number
952-890-9025
Provider Enumeration Date
11/04/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1423 N 8Th St
City
Superior
State
Wisconsin
Zip
54880-6664
Phone Number
952-915-9779
Fax Number
952-890-9025
person
Provider Business Mailing Address Details
Address
1423 N 8Th St
City
Superior
State
Wisconsin
Zip
54880-6664
Phone Number
952-915-9779
Fax Number
952-890-9025
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Speciality
-
Taxonomy
335V00000X
License No.
(Wisconsin)
Definition
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.
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