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PORTABLE MEDICAL DIAGNOSTICS LLC NPI 1326384306


NPI Information

NPI: 1326384306
Provider Name: PORTABLE MEDICAL DIAGNOSTICS LLC
Classification: Portable X-ray and/or Other Portable Diagnostic Imaging Supplier - 335V00000X
Entity Type: Organization
Address:
9047 HOME AVE
IRVINGTON, AL
ZIP 36544
Phone: (251) 272-1080
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PORTABLE MEDICAL DIAGNOSTICS LLC is a portable x ray and or other portable diagnostic imaging supplier in Irvington, AL. The provider is a supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. PORTABLE MEDICAL DIAGNOSTICS LLC NPI is 1326384306. The provider is registered as an organization entity type.

The provider's business location address is:

9047 HOME AVE
IRVINGTON, AL
ZIP 36544-855
Phone: (251) 272-1080
Fax: (251) 272-1080

The provider's authorized official is Douglas Brown .
The authorized official title is Managing Member and has the following contact phone number (601) 987-9729.

The enumeration date for this NPI number is 12/20/2012 and was last updated on 2/7/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging SupplierALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19074OTHERALABAMASTATE BOARD OF HEALTH IPL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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