PORTABLE MEDICAL DIAGNOSTICS LLC
NPI 1730425547
Physiological Laboratory in Irvington, AL

Active since December 26, 2012
9047 HOME AVE, IRVINGTON, AL 36544(251) 272-1080(251) 272-1080 Get Directions Write a Review

NPPES record last updated: July 21, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Portable Medical Diagnostics Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PORTABLE MEDICAL DIAGNOSTICS LLC (NPI 1730425547) is a healthcare organization registered as a physiological laboratory in Irvington, Alabama and active in the NPI registry since December 2012. The organization lists Douglas Brown, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1730425547
Entity TypeOrganization
Primary Taxonomy293D00000X
Legal Business NamePORTABLE MEDICAL DIAGNOSTICS LLC
Location Address9047 HOME AVEIrvington, AL 36544-2855
Mailing Address1855 Lakeland Dr, Ste G10Jackson, MS 39216-4913 · (601) 987-9729 · Fax (601) 987-0093
Fax(251) 272-1080
Organization SubpartNo
Authorized OfficialDouglas BrownManaging Member · (601) 987-9729
Enumeration DateDecember 26, 2012
Last NPPES UpdateJuly 21, 2014
NPI 1730425547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysiological LaboratoryLaboratories
Taxonomy Code293D00000X
Definition
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 laboratory regulations because there are no health and safety regulations for physiological services.
9047 HOME AVE, Irvington, AL 36544

Other Identifiers 1

Other9074AL · State Board Of Health Ipl License

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
9047 HOME AVE
IRVINGTON, AL 36544

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Portable Medical Diagnostics LLC's NPI number?

The NPI number for Portable Medical Diagnostics LLC is 1730425547. It was assigned to this organization in the NPPES registry on December 26, 2012.

Where is Portable Medical Diagnostics LLC located?

Portable Medical Diagnostics LLC is located at 9047 Home Ave, Irvington, AL 36544. The listed phone number is (251) 272-1080.

What is Portable Medical Diagnostics LLC's specialty?

The primary specialty registered for this NPI is Physiological Laboratory with taxonomy code 293D00000X.

When was this NPI record last updated?

The NPPES record for Portable Medical Diagnostics LLC was last updated on July 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.