PROFESSIONAL PORTABLE RADIOLOGIC SERVICES INC (NPI# 1285862631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285862631 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL PORTABLE RADIOLOGIC SERVICES INC |
| Other Organization Name | PROFESSIONAL PORTABLE X-RAY INC |
| Practice Address |
5445 Dtc Pkwy Penthouse Four Greenwood Village CO 80111-3045 |
| Mailing Address |
5534 W Riviera Dr Glendale AZ 85304-2700 |
| Practice Telephone | 6514701815 |
| Practice Fax Number | 6232495703 |
| Mailing Telephone | 6123691991 |
| Mailing Fax Number | 6516868154 |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2009-06-24 |
| Authorized Official Name | SUZANNE MCNAMEE (CEO) |
| Authorized Official Telephone | 6123691991 |
| Authorized Official Credential | R.T. (R) |
| 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 | Doing Business As Name - 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 |
| 1043501828 | 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 | 2011-04-27 |
| Street Address |
5445 DTC PKWY PENTHOUSE FOUR |
| City | GREENWOOD VILLAGE |
| State | CO |
| Zip Code | 80111-3045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740465681 | Cheri Lynae Goodwin | Counselor | 5445 Dtc Pkwy, Greenwood Village, CO 80111-3045 | 2008-01-09 |
| 1679996276 | Melissa Stoner | Dietitian, Registered | 5445 Dtc Pkwy, Penthouse 4, Greenwood Village, CO 80111-3045 | 2014-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637552 | Aaron Joseph Rushing | Anesthesiologist Assistant | Us Anesthesia Partners of Colorado, Inc, 8000 E. Maplewood Ave., Suite 200, Greenwood Village, CO 80111 | 2020-04-06 |
| 1003381252 | Bing Xu | Non-emergency Medical Transport (VAN) | 9000 E Caley Way, Greenwood Village, CO 80111 | 2018-10-03 |
| 1669963146 | Deborah G. Aragon | Physician Assistant | 6229 S. Iola Wy, Englewood, CO 80111 | 2018-05-21 |
| 1902343718 | Jennifer Bielefeld | Registered Nurse | 6162 South Willow Dr., Suite 100, Greenwood Village, CO 80111 | 2017-01-31 |
| 1225589807 | Osama M Kassab | Chiropractor | 5690 Dtc Blvd Ste 140e, Greenwood Village, CO 80111 | 2016-10-19 |
| 1891242400 | Samantha Fiegel | Counselor | 6021 S Syracuse Way Ste 216, Greenwood Village, CO 80111 | 2016-09-01 |
| 1831644368 | Melissa Fischer Alconcel | Dentist | 8940 E. Crescent Parkway, Suite 370, Greenwood Village, CO 80111 | 2016-08-25 |
| 1245680263 | Carron Maclean | Counselor | 5310 Dtc Pkwy Ste A, Greenwood Village, CO 80111 | 2016-06-21 |
| 1326493792 | Insight Psychotherapy LLC | Counselor | 7350 E Progress Place, Suite 100, Greenwood Village, CO 80111 | 2016-05-04 |
| 1457705410 | Amy Flora | Occupational Therapist | 5750 Dtc Pkwy #170, Greenwood Village, CO 80111 | 2016-04-15 |
| Find all providers in zip 80111 | ||||
| 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 |
|---|---|---|---|---|
| 1003372954 | Bee Line, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 9085 E Mineral Cir Ste 360, Centennial, CO 80112-3431 | 2019-02-15 |
| 1588105423 | Royaltech, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1703 E Cache La Poudre St, Colorado Springs, CO 80909-4613 | 2017-03-11 |
| 1245774587 | Specialized Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 117 Navajo, Unit 3, Pagosa Springs, CO 81147 | 2016-12-06 |
| 1437493848 | Pine Creek Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 9480 Briar Village Pt Ste 300, Colorado Springs, CO 80920-7923 | 2012-11-26 |
| 1104128859 | Kan Di Ki, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 11585 E 53rd Ave Ste H, Denver, CO 80239-2321 | 2010-12-01 |
| 1649416140 | 1st Mobile Ultrasound Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 20671 E Dartmouth Dr, Aurora, CO 80013-8441 | 2009-01-05 |
| 1962691964 | Bakorp LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7230 Gilpin Way Ste 200, Denver, CO 80229 | 2007-10-16 |
| 1801833389 | Schryver Medical Sales and Marketing LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 11585 E 53rd Ave, Unit H, Denver, CO 80239-2330 | 2006-06-01 |
| 1124643630 | Pdi Health Co LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 102 S Tejon St, Colorado Springs, CO 80903-2231 | 2020-06-10 |
| 1629551957 | Precision Clinical Imaging PCi | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 11275 E Mississippi Ave Ste 2w1, Aurora, CO 80012-2828 | 2018-09-12 |
| Find all providers with the same taxonomy | ||||
| City | GREENWOOD VILLAGE |
| Zip Code | 80111 |
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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.