Professional Portable Radiologic Services Inc.
NPI 1861128316ActiveOrganization· Physiological Laboratory· Peoria, AZ
Physiological Laboratory in Peoria, Arizona, registered in NPPES in July 2022. The authorized official on file is Bruce Allen Johnson, Vice President.
Overview
| NPI | 1861128316 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 27, 2022 |
| Last updated in NPPES | Aug 22, 2023 |
| Certified by provider | Aug 22, 2023 |
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 |
|---|
Other Physiological Laboratory providers in Peoria
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