NPI 1558508556

Portable Medical Diagnostics

Organisation Diagnostic Radiology Physician Jackson, MS

Practice location

Address: 1855 Lakeland Drive Suite G10, Jackson, MS 39216-4926
Phone: (601) 987-9425
Fax: (601) 987-0093
Mailing address: 840 US Highway One Suite 210, North Palm Beach, FL 33408-3833

Authorised official

Name: Dennis F Rosebrough
Title: Owner/President
Phone: (561) 964-7984

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence MRT1971 (MS)

Other Radiology providers in Mississippi →

Registry record

NPI: 1558508556
Entity type: Organization
NPI issued: 13 Jan 2009
Record last updated: 13 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.