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 39216-4926
(601) 987-9729
(601) 987-0093
Mailing address
1855 LAKELAND DR, STE G10, JACKSON, MS 39216-4926
(601) 987-9729
(601) 987-0093
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
MS
Other
Enumeration date
09/01/2011
Last updated
05/15/2013
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