Professional Portable Radiologic Services, Inc.

NPI 1073560157 - Portable X-Ray Supplier - 335V00000X

NPI Details
NPI 1073560157
Enumeration Date 05/27/2006
Last Updated 07/09/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SUZNNE MARIE SUZNNE
Position CEO/PRESIDENT
Phone (952) 915-9779
Fax (952) 890-9025
Practice Location
755 CLIFF RD E
BURNSVILLE MN, 55337-1545, US
Phone (952) 915-9779
Fax (952) 890-9025
Business Location
4604 PARKCLIFF DR
EAGAN MN, 55123-2129, US
Phone (612) 369-1991
Fax (651) 686-8154
Toxanomy
Taxonomy Code 335V00000X
License State Minnesota
License Number 903919
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According to our database, Professional Portable Radiologic Services, Inc. NPI is 1073560157, taxonomy code is 335V00000X and license number is 903919, license state is located at Minnesota. Professional Portable Radiologic Services, Inc. physically located at 755 Cliff Rd E, Burnsville MN, 55337-1545. NPI Number 1033115704 has the healthcare provider type.

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1073560157 NPI number is provided on an as is basis without warranty of any kind. 1073560157 is maintained by the National Plan & Provider Enumeration System. The contents of Professional Portable Radiologic Services, Inc. are for informational purposes only.