PROFESSIONAL PORTABLE RADIOLOGIC SERVICES, INC.
NPI 1336716075
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Randolph, NJ

Q: What is Professional Portable Radiologic Services, Inc.'s specialty?

The primary specialty registered for this NPI is Portable X-ray and/or Other Portable Diagnostic Imaging Supplier with taxonomy code 335V00000X.

Active since June 10, 2021

540 STATE ROUTE 10 STE 1, RANDOLPH, NJ 07869(866) 895-2119(952) 915-9597 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2025, Aug 8, 2023, Jun 2, 2023 and 2 more (5 updates tracked since 2021).

On this page

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 1336716075), doing business as Professional Portable X-ray, is a healthcare organization registered as a portable x-ray and/or other portable diagnostic imaging supplier in Randolph, New Jersey and active in the NPI registry since June 2021. The organization lists Bruce Allen Johnson, Vp - Ao, as its authorized official.

NPPES Registry Identity

NPI1336716075

Entity TypeOrganization

Primary Taxonomy335V00000X

Legal Business NamePROFESSIONAL PORTABLE RADIOLOGIC SERVICES, INC.

Location Address540 STATE ROUTE 10 STE 1Randolph, NJ 07869-2033

Mailing Address755 Cliff Rd EBurnsville, MN 55337-1545 · (952) 915-9779 · Fax (952) 915-9597

Phone(866) 895-2119

Fax(952) 915-9597

Organization SubpartNo

Authorized OfficialBruce Allen JohnsonVp - Ao · (303) 589-4149

Enumeration DateJune 10, 2021

Last NPPES UpdateMarch 31, 20255 updates tracked since enumeration

NPPES CertifiedMarch 31, 2025

✔ NPI 1336716075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPortable X-ray and/or Other Portable Diagnostic Imaging SupplierSuppliers

Taxonomy Code335V00000X

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.

540 STATE ROUTE 10 STE 1, Randolph, NJ 07869

Open in Google Maps ↗

Other Names 2

Doing Business AsProfessional Portable X-ray

Other NamePpx

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Professional Portable Radiologic Services, Inc.'s NPI number?

The NPI number for Professional Portable Radiologic Services, Inc. is 1336716075. It was assigned to this organization in the NPPES registry on June 10, 2021. The provider is doing business as Professional Portable X-ray. The provider is also known as Ppx.

Where is Professional Portable Radiologic Services, Inc. located?

Professional Portable Radiologic Services, Inc. is located at 540 State Route 10 Ste 1, Randolph, NJ 07869. The listed phone number is (866) 895-2119.

What is Professional Portable Radiologic Services, Inc.'s specialty?

The primary specialty registered for this NPI is Portable X-ray and/or Other Portable Diagnostic Imaging Supplier with taxonomy code 335V00000X.

When was this NPI record last updated?

The NPPES record for Professional Portable Radiologic Services, Inc. was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.