PROFESSIONAL PORTABLE RADIOLOGIC SERVICES, INC. (NPI# 1073560157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073560157 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL PORTABLE RADIOLOGIC SERVICES, INC. |
| Other Organization Name | PROFESSIONAL PORTABLE X-RAY, INC. |
| Practice Address |
755 Cliff Rd E Burnsville MN 55337-1545 |
| Mailing Address |
4604 Parkcliff Dr Eagan MN 55123-2129 |
| Practice Telephone | 9529159779 |
| Practice Fax Number | 9528909025 |
| Mailing Telephone | 6123691991 |
| Mailing Fax Number | 6516868154 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2016-05-12 |
| Authorized Official Name | MRS. SUZANNE MARIE MCNAMEE (CEO/PRESIDENT) |
| Authorized Official Telephone | 6123691991 |
| Authorized Official Credential | RT, (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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICARE RAILROAD | P00878949 | 01 |
| MN | 300267500 | 05 |
| Other Name | Type Code |
|---|---|
| Professional Portable X-ray, Inc. | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285873810 | Professional Portable Radiologic Services, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 9132 West Cactus Rd, Suite D, Peoria, AZ 85381-5131 | 2009-02-04 |
| 1154560373 | Professional Portable Radiologic Services, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 14301 Fnb Pkwy, Suite 100/182, Omaha, NE 68154-7200 | 2009-02-11 |
| 1689813255 | Professional Portable Radiologic Services, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1551 Indian Hills Dr, #104, Sioux City, IA 51104-1859 | 2009-02-05 |
| 1013092196 | Professional Portable Radiologic Services, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 755 Cliff Rd E, Burnsville, MN 55337-1545 | 2006-10-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | PROFESSIONAL PORTABLE RADIOLOGIC SERVICES, INC. | 755 Cliff Rd E, Burnsville, MN 55337 |
| Street Address |
755 CLIFF RD E |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55337-1545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013092196 | Professional Portable Radiologic Services, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 755 Cliff Rd E, Burnsville, MN 55337-1545 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939397 | Alpha Quality Care1 L. L. C. | Home Infusion | 12924 18th Ave South, Burnsville, MN 55337 | 2020-07-13 |
| 1568085900 | Kathryn Harris | Counselor | 11939 W. River Hills Dr., Burnsville, MN 55337 | 2020-05-20 |
| 1952941254 | Noah Home Care Inc. | Home Health | 13521 Nicollet Lane, Burnsville, MN 55337 | 2020-01-14 |
| 1750854287 | Baraka Home Care LLC | Nursing Care | 1700 James Place, Burnsville, MN 55337 | 2019-01-08 |
| 1699298778 | Raphael Cheron-dittmann | Hearing Instrument Specialist | 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 | 2017-07-20 |
| 1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1730542572 | Iris Reproductive Psychiatric Clinic | Clinical Nurse Specialist | 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 | 2016-03-30 |
| 1740657204 | Mercy Link, LLC | Home Health | 13005 Salem Pl, Burnsville, MN 55337 | 2015-08-31 |
| 1669852158 | Mixa Dipak Patel | Physical Therapy Assistant | 8380 Hiawatha Ave, Eden Prairie, MN 55337 | 2015-06-01 |
| Find all providers in zip 55337 | ||||
| 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 |
|---|---|---|---|---|
| 1013092196 | Professional Portable Radiologic Services, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 755 Cliff Rd E, Burnsville, MN 55337-1545 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881038263 | Health Diagnostics Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22841 Zion Pkwy Nw, Bethel, MN 55005-9315 | 2013-04-29 |
| 1750533469 | Premier Diagnostic Imaging, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 12800 Highway 55, Plymouth, MN 55441-3840 | 2008-10-14 |
| 1215499553 | North Star Mobile X-ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6300 Shingle Creek Pkwy Ste 135, Minneapolis, MN 55430-2124 | 2019-04-04 |
| 1801130158 | Minnesota Medical Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 715 Florida Ave S, Suite 205, Golden Valley, MN 55426-1719 | 2012-11-26 |
| 1366747040 | Professional Portable Radiologic Service, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4801 W 81st St, Bloomington, MN 55437-1111 | 2011-01-11 |
| 1568604585 | Portable Diagnostic Imaging, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6545 France Ave S, Suite C 62a, Edina, MN 55435-2131 | 2009-04-06 |
| City | BURNSVILLE |
| Zip Code | 55337 |
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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.