PORTABLE MEDICAL DIAGNOSTICS – NPI #1558508556
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

PORTABLE MEDICAL DIAGNOSTICS is a radiologist located in JACKSON, MS. NPPES has assigned the NPI number 1558508556 to PORTABLE MEDICAL DIAGNOSTICS on January 13, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

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 below.

NPI Profile for
PORTABLE MEDICAL DIAGNOSTICS

NPI Number
1558508556
Enumeration Date

(more than 17 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
Primary location
1855 LAKELAND DRIVE
SUITE G10
JACKSON, MS 39216-4926
Phone: (601) 987-9425 Fax: (601) 987-0093
Mailing address
840 US HIGHWAY ONE
SUITE 210
NORTH PALM BEACH, FL 33408-3833
Phone: (561) 626-9021 Fax: (561) 626-7593
Organization Subpart
No
Authorized Official
DENNIS ROSEBROUGH
OWNER/PRESIDENT
Phone: (561) 964-7984
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
2085R0202X
- Radiology / Diagnostic Radiology (Primary)		 MS MRT1971

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.