PROFESSIONAL PORTABLE RADIOLOGIC SERVICES INC (NPI# 1043501828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043501828 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL PORTABLE RADIOLOGIC SERVICES INC |
| Other Organization Name | PROFESSIONAL PORTABLE X-RAY INC |
| Practice Address |
1423 N 8th St Suite 114 Superior WI 54880-6664 |
| Mailing Address |
755 Cliff Rd E Burnsville MN 55337-1545 |
| Practice Telephone | 6123691991 |
| Practice Fax Number | 9528909025 |
| Mailing Telephone | 6123691991 |
| Mailing Fax Number | 9529159597 |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2016-05-12 |
| Authorized Official Name | MRS. SUZANNE MARIE MCNAMEE (PRINCIPAL/PRESIDENT) |
| Authorized Official Telephone | 6123691991 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
| Other Name | Type Code |
|---|---|
| Professional Portable X-ray Inc | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083941504 | Professional Portable Radiologic Services Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1423 N 8th St, Suite 114, Superior, WI 54880-6664 | 2009-11-04 |
| 1285862631 | Professional Portable Radiologic Services Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5445 Dtc Pkwy, Penthouse Four, Greenwood Village, CO 80111-3045 | 2009-06-24 |
| Street Address |
1423 N 8TH ST SUITE 114 |
| City | SUPERIOR |
| State | WI |
| Zip Code | 54880-6664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083941504 | Professional Portable Radiologic Services Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1423 N 8th St, Suite 114, Superior, WI 54880-6664 | 2009-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427194 | Alana Catherine Sullivan | Speech-Language Pathologist | 25 N 25th Street E, Superior, WI 54880 | 2020-11-05 |
| 1710524970 | Sean Wiberg Peterson | Specialist/Technologist | 1810 Catlin Ave, Room 1246, Superior, WI 54880 | 2019-12-06 |
| 1558858936 | Brent Adam Engstrom | Student in an Organized Health Care Education/Training Program | 1410 Nth 23rd Street, Superior, WI 54880 | 2018-04-20 |
| 1558769125 | David Kroll | Specialist | Balknap & Catlin Aves., Superior, WI 54880 | 2014-12-15 |
| 1154670321 | Superior Treatment Center, Inc | Community/Behavioral Health | 1507 Tower Ave Ste 307, Superior, WI 54880 | 2012-09-04 |
| 1548551658 | Dionne Jeannine Corcoran | Midwife | 916 Hammond Ave Ste 222, Superior, WI 54880 | 2011-04-22 |
| 1821235433 | Lauren Ashley Miller | Speech-Language Pathologist | 35 N. 28th Street, Superior, WI 54880 | 2009-01-20 |
| 1528261989 | Stacy Ann Kennelly | Physical Therapist | 1612 N 37th Street, Superior, WI 54880 | 2007-06-06 |
| 1760564942 | James Henry Dobis | Family Medicine | 3520 Tower Avenue, Twin Ports Va Outpatient Clinic, Superior, WI 54880 | 2006-10-19 |
| 1134214398 | Kevin M Mikel | Dentist | 3312 Tower Avenue, Superior, WI 54880 | 2006-10-04 |
| Find all providers in zip 54880 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| 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. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083941504 | Professional Portable Radiologic Services Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1423 N 8th St, Suite 114, Superior, WI 54880-6664 | 2009-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942795190 | Neurotech, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1263 Main St Ste 213, Green Bay, WI 54302-1341 | 2018-06-28 |
| 1861518052 | Accurate Imaging Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2895 Algoma Blvd, Oshkosh, WI 54901-1012 | 2007-03-21 |
| 1801420823 | All-stat Portable Wi, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2895 Algoma Blvd, Oshkosh, WI 54901-1012 | 2020-02-28 |
| 1023642204 | All-stat Portable Wi, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2895 Algoma Blvd, Oshkosh, WI 54901-1012 | 2020-02-27 |
| 1336780717 | Neurotech, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1263 Main St Ste 213, Green Bay, WI 54302-1341 | 2019-10-07 |
| 1629583091 | Premium Mobile Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 11414 W Park Pl Ste 202, Milwaukee, WI 53224-3500 | 2017-12-07 |
| 1295106318 | Astia Health Clinical Services, Sc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 630 S Central Ave Ste 303, Marshfield, WI 54449-4196 | 2015-10-15 |
| 1144657933 | Touhy Diagnostic At Home, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 723 58th St, 304, Kenosha, WI 53140-4160 | 2013-10-11 |
| 1588993836 | Accurate Imaging Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2895 Algoma Blvd, Oshkosh, WI 54901-1012 | 2009-12-16 |
| 1154410264 | American Portable Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 756 N 35th St, Suite #100, Milwaukee, WI 53208-3360 | 2006-10-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.