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PROFESSIONAL PORTABLE RADIOLOGIC SERVICES INC.
NPI 1447986989
Physiological Laboratory in Las Vegas, NV

Active since July 27, 2022
3841 W CHARLESTON BLVD STE 203, LAS VEGAS, NV 89102(866) 895-2119 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2023, Jun 2, 2023, Jul 27, 2022 (3 updates tracked since 2022).

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 1447986989) is a healthcare organization registered as a physiological laboratory in Las Vegas, Nevada and active in the NPI registry since July 2022. The organization lists Bruce Allen Johnson, Vice President & Secretary, as its authorized official.

NPPES Registry Identity

NPI1447986989
Entity TypeOrganization
Primary Taxonomy293D00000X
Legal Business NamePROFESSIONAL PORTABLE RADIOLOGIC SERVICES INC.
Location Address3841 W CHARLESTON BLVD STE 203Las Vegas, NV 89102-1858
Mailing Address3841 W Charleston Blvd Ste 203Las Vegas, NV 89102-1858 · (866) 895-2119
Phone(866) 895-2119
Organization SubpartNo
Authorized OfficialBruce Allen JohnsonVice President & Secretary · (303) 589-4149
Enumeration DateJuly 27, 2022
Last NPPES UpdateAugust 8, 20233 updates tracked since enumeration
NPPES CertifiedAugust 8, 2023
✔ NPI 1447986989 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.
3841 W CHARLESTON BLVD STE 203, Las Vegas, NV 89102
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Other Providers at the Same Location NPPES 12

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

KRISTINE M BRUNING
Nurse Practitioner
3841 W CHARLESTON BLVD STE 203
LAS VEGAS, NV 89102
Clark County (702) 848-4443
HEATHER ASHLEY BETTENCOURT RN
Nurse Practitioner (Family)
3841 W CHARLESTON BLVD STE 203
LAS VEGAS, NV 89102
Clark County (702) 848-4443
DR. JASON PAUL JONES MD
Emergency Medicine
3841 W CHARLESTON BLVD STE 203
LAS VEGAS, NV 89102
Clark County (702) 848-4443
AIREN B BRICENO DNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3841 W CHARLESTON BLVD STE 203
LAS VEGAS, NV 89102
Clark County (617) 461-8781
ANTHONY GREGORY WHITNEY
Nurse Practitioner (Family)
3841 W CHARLESTON BLVD STE 203
LAS VEGAS, NV 89102
Clark County (661) 302-5053
OLUWADAMILOLA BAMIRO
Technician (Personal Care Attendant)
3841 W CHARLESTON BLVD STE 203
LAS VEGAS, NV 89102
Clark County (702) 478-8171
FATIA PAGE
Technician (Personal Care Attendant)
3841 W CHARLESTON BLVD STE 203
LAS VEGAS, NV 89102
Clark County (702) 478-8171
DISPATCHHEALTH ADVANCED CARE LLC
Hospitalist
3841 W CHARLESTON BLVD STE 203
LAS VEGAS, NV 89102
Clark County (303) 904-7240

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 1447986989. It was assigned to this organization in the NPPES registry on July 27, 2022.

Where is Professional Portable Radiologic Services Inc. located?

Professional Portable Radiologic Services Inc. is located at 3841 W Charleston Blvd Ste 203, Las Vegas, NV 89102. 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 Physiological Laboratory with taxonomy code 293D00000X.

When was this NPI record last updated?

The NPPES record for Professional Portable Radiologic Services Inc. was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.