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General NPI Number Information
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NPI Number | 1285862631
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL PORTABLE RADIOLOGIC SERVICES, INC.
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Dates
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Enumeration Date | 06/24/2009
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 3827 N LAFAYETTE ST
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City | DENVER
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State | CO
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Zip | 80205-3339
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Country | US
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Telephone | 866-895-2119
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Fax | 952-890-9025
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Provider Business Mailing Address
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Address Line | 755 CLIFF RD E STE 200
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City | BURNSVILLE
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State | MN
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Zip | 55337-1536
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Country | US
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Telephone | 952-915-9779
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Fax | 952-890-9025
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Authorized Official
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Title or Position | CHIEF LEGAL OFFICER
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Name | WILLIAM KRAMER
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Credential |
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Telephone | 215-813-5940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number |
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License Number State |
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