NPI 1730425547

Portable Medical Diagnostics LLC

Organisation Physiological Laboratory Irvington, AL

Practice location

Address: 9047 Home Ave, Irvington, AL 36544-2855
Phone: (251) 272-1080
Fax: (251) 272-1080
Mailing address: 1855 Lakeland Dr STE G10, Jackson, MS 39216-4913

Authorised official

Name: Douglas Brown
Title: Managing Member
Phone: (601) 987-9729

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

Other Physiological Laboratory providers in Alabama →

Registry record

NPI: 1730425547
Entity type: Organization
NPI issued: 26 Dec 2012
Record last updated: 21 Jul 2014

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.