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1861128316
PROFESSIONAL PORTABLE RADIOLOGIC SERVICES INC.
PEORIA, AZ
NPI
1861128316
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Entity Type
Organization
Authorized Contact
BRUCE ALLEN JOHNSON
Vice President
303-589-4149
Organization Subpart ?
No
Primary Taxonomy
293D00000X Physiological Laboratory
Enumeration Date
2022-07-27
Last Update Date
2023-08-22
Business Address
PROFESSIONAL PORTABLE RADIOLOGIC SERVICES INC.
9132 W CACTUS RD STE D
PEORIA, AZ 85381-5131
Phone number: 866-895-2119
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Mailing Address
PROFESSIONAL PORTABLE RADIOLOGIC SERVICES INC.
9132 W CACTUS RD STE D
PEORIA, AZ 85381-5131
Phone number:
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