PORTABLE MEDICAL DIAGNOSTICS LLC (NPI# 1326384306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326384306 |
| Entity Type | Organization |
| Organization Name | PORTABLE MEDICAL DIAGNOSTICS LLC |
| Practice Address |
9047 Home Ave Irvington AL 36544-2855 |
| Mailing Address |
1855 Lakeland Dr Suite G10 Jackson MS 39216-4913 |
| Practice Telephone | 2512721080 |
| Practice Fax Number | 2512721080 |
| Mailing Telephone | 6019879729 |
| Mailing Fax Number | 6019870093 |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2013-02-07 |
| Authorized Official Name | DOUGLAS BROWN (MANAGING MEMBER) |
| Authorized Official Telephone | 6019879729 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | STATE BOARD OF HEALTH IPL LICENSE | 9074 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730425547 | Portable Medical Diagnostics LLC | Physiological Laboratory | 9047 Home Ave, Irvington, AL 36544-2855 | 2012-12-26 |
| 1174804355 | Portable Medical Diagnostics LLC | Clinic/Center | 1855 Lakeland Dr, Ste G10, Jackson, MS 39216-4926 | 2011-09-01 |
| 1932489812 | Portable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1855 Lakeland Dr, Ste G10, Jackson, MS 39216-4913 | 2011-08-23 |
| Street Address |
9047 HOME AVE |
| City | IRVINGTON |
| State | AL |
| Zip Code | 36544-2855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730425547 | Portable Medical Diagnostics LLC | Physiological Laboratory | 9047 Home Ave, Irvington, AL 36544-2855 | 2012-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427671528 | Catherine Thompson | Social Worker | 12701 Padgett Switch Rd, Irvington, AL 36544 | 2020-05-22 |
| 1801937057 | Cheryl Berg Horn | Speech-Language Pathologist | 9780 Cornelius Rd., Irvington, AL 36544-0675 | 2007-02-09 |
| 1376894659 | South Mobile County Home Health Services Inc. | Case Management | 9161 Saint Elmo Cir S, Irvington, AL 36544-2921 | 2012-09-26 |
| 1740333236 | House of Philadelphia, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8571 Three Mile Rd, Irvington, AL 36544-3301 | 2007-01-19 |
| 1558683409 | South Alabama Leisure Rehabilitation Recreation Center Inc | Day Training, Developmentally Disabled Services | 8571 Three Mile Rd, Lot 4, Irvington, AL 36544-3301 | 2010-02-19 |
| 1902926884 | W.i.n.n.e.r.s., Inc | Substance Abuse Rehabilitation Facility | 8800 Three Mile Rd, Irvington, AL 36544-3334 | 2007-04-02 |
| 1952532566 | Wilsania L. Rodriguez Mendez | Internal Medicine | 12701 Padgett Switch Road, Medicine Dept., Irvington, AL 36544-4011 | 2009-07-30 |
| 1396794426 | Bayou La Batre Area Health Development Board, Inc. | Clinic/Center | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2006-05-08 |
| 1396360103 | Melissa Sprinkle | Nurse Practitioner | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2020-06-08 |
| 1275090300 | Michael A Pickert | Nurse Practitioner | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2019-02-25 |
| Find all providers in zip 36544 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| 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. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912430158 | Medical Device and Billing LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7201 Halcyon Summit Dr, Montgomery, AL 36117-3502 | 2017-04-05 |
| 1649677436 | Kevin Snyder | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 30466 Sgt E I Boots Thomas Dr, Suite 206a, Spanish Fort, AL 36527-7630 | 2014-11-23 |
| 1265450282 | Massvax Travel Clinic L.L.C. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 113 Parkside Dr, Headland, AL 36345-1520 | 2006-07-17 |
| 1295712149 | Mobile Radiology & Ekg of Carolina, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 512 Montgomery Hwy, Suite 200, Birmingham, AL 35216-1843 | 2005-12-30 |
| 1811988462 | Southern Radiology Services, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 300 Cahaba Valley Cir, Pelham, AL 35124-1148 | 2005-11-02 |
| 1558743120 | Xraymobile | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 30466 Sgt E I Boots Thomas Dr, Suite 206a, Spanish Fort, AL 36527-7630 | 2015-06-19 |
| 1609111467 | Healthscan Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2525 Bell Rd, Montgomery, AL 36117-4369 | 2012-12-05 |
| 1164790861 | Vuepoint Diagnostics, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4268 Cahaba Heights Ct, Suite 102, Vestavia, AL 35243-5711 | 2011-12-08 |
| 1700175411 | Eddie Lee Ayers | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1860 Us Highway 43, Winfield, AL 35594-5062 | 2011-04-04 |
| 1912206392 | Superior Mobile Imaging Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1860 Us Highway 43, Winfield, AL 35594-5062 | 2011-03-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.