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Organization

MOBILE IMAGING, LLC

Active
Parent organization
MOBILE IMAGING, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MOBILE IMAGING, LLC
Authorized official
CHARLES MATTHEW HANEY (OWNER)
(601) 621-4522
Entity
Organization

Contact information

Practice address
2211 5TH ST STE 117, MERIDIAN, MS 39301-5845
(601) 621-4522
(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
246Z00000X
Other Specialist/Technologist
Primary
293D00000X
Physiological Laboratory
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005302216
MS
Enumeration date
04/29/2025
Last updated
04/21/2026
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