NPI 1932489812
Portable Medical Diagnostics LLC
Practice location
- Address
- 1855 Lakeland Dr STE G10, Jackson, MS 39216-4913
- Phone
- (601) 987-9729
- Fax
- (601) 987-0093
Authorised official
- Name
- Douglas Brown
- Title
- Managing Partner
- Phone
- (601) 260-6008
Registered specialties
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
Registry record
- NPI
- 1932489812
- Entity type
- Organization
- NPI issued
- 23 Aug 2011
- Record last updated
- 20 Dec 2012
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.