OrganizationActive
Portable Medical Diagnostics LLC
NPI 1174804355 · Mobile Radiology Clinic/Center · Jackson, MS
Provider details
- NPI number
- 1174804355
- Entity type
- Organization
- Primary specialty
- Mobile Radiology Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Douglas Brown, Managing Partner
Practice location
1855 Lakeland Dr
Ste G10
Jackson, MS 39216-4926
Phone: (601) 987-9729
Fax: (601) 987-0093
Mailing address
1855 Lakeland Dr
Jackson, MS 39216-4926
Registry dates
- Enumerated
- 2011-09-01
- Last updated
- 2013-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.