National Provider Identifier Database

PORTABLE MEDICAL DIAGNOSTICS LLC
Physiological Laboratory, (Independent Physiological Lab)

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.


Contact Information

PORTABLE MEDICAL DIAGNOSTICS LLC
9047 HOME AVE
IRVINGTON, AL36544-2855
Phone: 251-272-1080
Fax: 251-272-1080
Website:
Specialty Taxonomy Code
* Physiological Laboratory, (Independent Physiological Lab) 293D00000X

* Indicates primary specialty

NPI Profile & details for PORTABLE MEDICAL DIAGNOSTICS LLC

NPI Number 1730425547
Legal business name
LBN
PORTABLE MEDICAL DIAGNOSTICS LLC
Authorized official DOUGLAS BROWN - (MANAGING MEMBER)
Entity Organization
Organization subpart No
Enumeration date 12/26/2012
Last updated 07/21/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • AL Other: 9074 STATE BOARD OF HEALTH IPL LICENSE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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