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Organization
PORTABLE MEDICAL DIAGNOSTICS LLC
Active
Organization
PORTABLE MEDICAL DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS BROWN (MANAGING PARTNER)
(601) 260-6008
Entity
Organization
Contact information
Practice address
1855 LAKELAND DR, STE G10, JACKSON, MS 39216-4913
(601) 987-9729
(601) 987-0093
Mailing address
1855 LAKELAND DR, STE G10, JACKSON, MS 39216-4913
(601) 987-9729
(601) 987-0093
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
NULL
Other
Enumeration date
08/23/2011
Last updated
12/20/2012
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