Active NPI
Mobile Imaging, LLC
- Other Specialist/Technologist
- Meridian, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- Legal business name
- MOBILE IMAGING, LLC
- Practice address
- 2211 5TH St Ste 117
Meridian, MS 39301-5845 - Phone
- (601) 621-4522
- Fax
- (601) 621-4615
- NPI assigned
- Apr 29, 2025
- Last updated
- Apr 21, 2026
- Organization subpart
- Yes
- Parent organization
- MOBILE IMAGING, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles Matthew Haney
- Title
- Owner
- Phone
- (601) 621-4522
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Specialist/Technologist | 246Z00000X | Primary |
Addresses
Primary practice location
2211 5TH St Ste 117
Meridian, MS 39301-5845
Mailing address
2211 5TH St Ste 117
Meridian, MS 39301-5845
Phone (601) 621-4522
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005302216 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231013002374 | MS | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 2365848140 |
1 other NPI on this enrollment Practice locations: Meridian, MS |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Meridian, MS
- NPI 1457945420
2365848140
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Meridian, MS
- NPI 1457945420
O20231013002374
National Provider Directory
National Provider Directory- Part of
- Mobile Imaging LLC
Locations
2447 47th Ct
Ste C
Meridian, MS 39305
Phone (601) 604-7107
906 20th Ave
Ste 104
Meridian, MS 39301
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Meridian, MS
- NPI 1457945420
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mobile Radiology Clinic/Center
- Meridian, MS
- NPI 1538750914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776729600000",
"number": "1548058605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 5TH ST STE 117",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393015845",
"telephone_number": "601-621-4522",
"fax_number": "601-621-4615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 5TH ST STE 117",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393015845",
"telephone_number": "601-621-4522",
"fax_number": "601-621-4615"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBILE IMAGING, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MOBILE IMAGING, LLC",
"enumeration_date": "2025-04-29",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A",
"authorized_official_last_name": "HANEY",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "MATTHEW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "601-621-4522"
},
"taxonomies": [
{
"code": "246Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005302216",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, MS
- Mississippi State Department of Health
- Mississippi State University (MSU - Meridian Mental and Behavioral Health Clinic)
- Deborah Mitchell, PT
- Christy Michelle Mnzava, D.O.
- Mobile Imaging, LLC
- Mobile Services, Inc
- Tanesha Mobley
- Katelyn Rebecca Moffett, FNP-C
- Moffettrx LLC (Ole Towne Family Pharmacy)
- Moffettrx LLC (Ole Towne Family Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.