# MISSISSIPPI MOBILE DIAGNOSTICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164496626
- **Authorized official:** MR. JAY T MASSEY (OWNER)
- **Authorized official phone:** (601) 807-5505

## Contact information

- **Practice address:** 730 RIDGEWOOD RD, SUITE B, RIDGELAND, MS 39157-4426
- **Practice address phone:** (601) 957-3111
- **Practice address fax:** (601) 957-3117
- **Mailing address:** 730 RIDGEWOOD RD, SUITE B, RIDGELAND, MS 39157-4426
- **Mailing address phone:** (601) 957-3111
- **Mailing address fax:** (601) 957-3117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | MS | Yes |

## Other

- **Enumeration date:** 02/13/2006
- **Last updated:** 08/22/2020