Portable Medical Diagnostics LLC
NPI 1174804355 · Mobile Radiology Clinic/Center · Jackson, MS
Enrolled with Medicare as Part B Supplier - Independent Diagnostic Testing Facility (idtf) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Portable Medical Diagnostics LLC is a Mobile Radiology Clinic/Center organization in Jackson, MS (NPI 1174804355).
Provider details
- NPI number
- 1174804355
- Entity type
- Organization
- Primary specialty
- Mobile Radiology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Douglas Brown, Managing Partner(601) 260-6008
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
15 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
794 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Ultrasound Study of One Arm Or Leg Veins With Compression and Maneuvers93971 | 202 | $100 |
| Ultrasound Study of Arm Or Leg Veins With Compression and Maneuvers93970 | 161 | $154 |
| Ultrasound of Leg Arteries Or Artery Grafts93925 | 128 | $204 |
| Ultrasound Study of Arm and Leg Arteries93922 | 83 | $59 |
| Ultrasound of One Leg Arteries Or Artery Grafts93926 | 71 | $110 |
| Complete Ultrasound Scan of Abdomen76700 | 38 | $101 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-09-01
- Last updated
- 2013-05-15
Frequently asked questions
- What is Portable Medical Diagnostics LLC's NPI number?
- Portable Medical Diagnostics LLC's National Provider Identifier (NPI) is 1174804355, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Portable Medical Diagnostics LLC?
- Portable Medical Diagnostics LLC is classified in the NPPES registry as Mobile Radiology Clinic/Center (Ambulatory Health Care Facilities).
- Where is Portable Medical Diagnostics LLC located?
- Portable Medical Diagnostics LLC's practice location on file with NPPES is 1855 Lakeland Dr, Jackson, MS 39216-4926.
- What is Portable Medical Diagnostics LLC's phone number?
- The practice phone number listed in the NPPES registry for Portable Medical Diagnostics LLC is (601) 987-9729.
- Does Portable Medical Diagnostics LLC accept Medicare?
- Portable Medical Diagnostics LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Portable Medical Diagnostics LLC?
- The authorized official listed on Portable Medical Diagnostics LLC's NPPES record is Douglas Brown, Managing Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Portable Medical Diagnostics LLC's NPI active?
- Yes — Portable Medical Diagnostics LLC's NPI (1174804355) is active in the NPPES registry as of the last update on 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.