Organization
MOBILE IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES M HANEY (OWNER)
(601) 604-7107
Entity
Organization
Contact information
Practice address
2211 5TH ST STE 117, MERIDIAN, MS 39301-5845
(601) 604-7107
(601) 621-4615
Mailing address
2211 5TH ST STE 117, MERIDIAN, MS 39301-5845
(601) 621-4522
(601) 621-4615
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005302216
—
MS
Enumeration date
02/21/2021
Last updated
04/29/2025
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