Organization
PORTABLE MEDICAL DIAGNOSTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS BROWN (MANAGING MEMBER)
(601) 987-9729
Entity
Organization
Contact information
Practice address
1855 LAKELAND DR, SUITE G10, JACKSON, MS 39216-4913
(601) 987-9425
(601) 987-0093
Mailing address
1855 LAKELAND DR, SUITE G10, JACKSON, MS 39216-4913
(601) 987-9729
(601) 987-0093
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
4975007
MS
Other
Enumeration date
04/22/2010
Last updated
04/23/2012
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