Organization · Type 2 NPI
Portable Medical Diagnostics LLC
Physiological Laboratory · Irvington, AL
Practice location
9047 Home Ave
Irvington, AL 36544-2855
Fax (251) 272-1080
Mailing address
1855 Lakeland Dr, Ste G10
Jackson, MS 39216-4913
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physiological Laboratory Primary | 293D00000X | None listed |
Physiological Laboratory: A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical labora…
Another provider at this address
About NPI 1730425547
Portable Medical Diagnostics LLC's National Provider Identifier is 1730425547, issued on Dec 26, 2012. The primary taxonomy on file is Physiological Laboratory (293D00000X), and the practice location is in Irvington, AL. The record was last updated on Jul 21, 2014.