# MED MOBILE DIGITAL IMAGING LLC

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

## Provider details

- **NPI number:** 1811403637
- **Authorized official:** MEAGAN MOTON (OWNER)
- **Authorized official phone:** (318) 687-6861

## Contact information

- **Practice address:** 124 S JACKSON STE 321, MAGNOLIA, AR 71753-3540
- **Practice address phone:** (318) 347-6872
- **Practice address fax:** (318) 347-6872
- **Mailing address:** 9376 MANSFIELD RD, SHREVEPORT, LA 71118-3181
- **Mailing address phone:** (318) 687-6861

## Taxonomy

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

## Other

- **Enumeration date:** 12/15/2017
- **Last updated:** 12/15/2017