Professional Portable Radiologic Services Inc
NPI 1447061908ActiveOrganization· Physiological Laboratory· Lewes, DE
Physiological Laboratory in Lewes, Delaware, registered in NPPES in January 2025. The authorized official on file is Bruce Johnson, Vp/Ogc.
Overview
| NPI | 1447061908 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 15, 2025 |
| Last updated in NPPES | Jan 15, 2025 |
| Certified by provider | Jan 15, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|