OrganizationActive
Dr Mobile Imaging, LLC
NPI 1851949291 · Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · Jackson, TN
Provider details
- NPI number
- 1851949291
- Entity type
- Organization
- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Davin Modisette, Owner(318) 475-0690
Specialties & taxonomies
Suppliers
Practice location
23 Westhaven Pl
Jackson, TN 38305-1758
Phone: (731) 803-1078
Fax: (731) 435-3385
Approximate (ZIP-level) locationGet directions
Mailing address
23 Westhaven Pl
Jackson, TN 38305-1758
Registry dates
- Enumerated
- 2019-08-29
- Last updated
- 2022-12-28
- Certified
- 2022-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.