PORTABLE MEDICAL DIAGNOSTICS INC – NPI #1518284181
Clinic/Center

PORTABLE MEDICAL DIAGNOSTICS INC is an AHC clinic located in JACKSON, MS. NPPES has assigned the NPI number 1518284181 to PORTABLE MEDICAL DIAGNOSTICS INC on April 22, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QR0208X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Radiology, Mobile

The NPI profile was previously updated about 14 years ago on Apr 23, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PORTABLE MEDICAL DIAGNOSTICS INC below.

NPI Profile for
PORTABLE MEDICAL DIAGNOSTICS INC

NPI Number
1518284181
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PORTABLE MEDICAL DIAGNOSTICS INC
Primary location
1855 LAKELAND DR
SUITE G10
JACKSON, MS 39216-4913
Phone: (601) 987-9425 Fax: (601) 987-0093
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DOUGLAS BROWN
MANAGING MEMBER
Phone: (601) 987-9729
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR0208X
- Clinic/Center / Radiology, Mobile (Primary)		 MS 4975007

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.