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PROFESSIONAL PORTABLE RADIOLOGIC SERVICES INC.
NPI 1174228308
Physiological Laboratory in Ormond Beach, FL

Active since April 05, 2023
1400 HAND AVE STE A, ORMOND BEACH, FL 32174(303) 500-1518 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 7, 2025, Aug 8, 2023, Jun 2, 2023 and 1 more (4 updates tracked since 2023).

About Professional Portable Radiologic Services Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROFESSIONAL PORTABLE RADIOLOGIC SERVICES INC. (NPI 1174228308), doing business as Dynamic Mobile Imaging, is a healthcare organization registered as a physiological laboratory in Ormond Beach, Florida and active in the NPI registry since April 2023. The organization lists William Kramer, Chief Legal Officer, as its authorized official.

NPPES Registry Identity

NPI1174228308
Entity TypeOrganization
Primary Taxonomy293D00000X
Legal Business NamePROFESSIONAL PORTABLE RADIOLOGIC SERVICES INC.
Location Address1400 HAND AVE STE AOrmond Beach, FL 32174-8195
Mailing Address3825 N Lafayette StDenver, CO 80205-3316 · (303) 500-1518
Phone(303) 500-1518
Organization SubpartNo
Authorized OfficialWilliam KramerChief Legal Officer · (215) 813-5940
Enumeration DateApril 5, 2023
Last NPPES UpdateJuly 7, 20254 updates tracked since enumeration
NPPES CertifiedJuly 7, 2025
✔ NPI 1174228308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysiological LaboratoryLaboratories
Taxonomy Code293D00000X
Definition

A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

1400 HAND AVE STE A, Ormond Beach, FL 32174
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Other Names 1

Doing Business AsDynamic Mobile Imaging

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ATLANTIC MOBILE IMAGING SERVICES, INC.
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
1400 HAND AVE STE A
ORMOND BEACH, FL 32174
Flagler County (386) 239-8270
PROFESSIONAL PORTABLE RADIOLOGIC SERVICES, INC
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
1400 HAND AVE STE A
ORMOND BEACH, FL 32174
Flagler County (303) 500-1518
ATLANTIC MOBILE IMAGING SERVICES
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
1400 HAND AVE STE A
ORMOND BEACH, FL 32174
Flagler County (386) 239-8270

Frequently Asked Questions

What is PROFESSIONAL PORTABLE RADIOLOGIC SERVICES INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1174228308, enumerated as an "organization" on April 05, 2023.

Where is the provider located?

The provider is located at 1400 HAND AVE STE A ORMOND BEACH, FL 32174 and the phone number is (303) 500-1518.

What is the provider's specialty?

Physiological Laboratory with taxonomy code 293D00000X.