Organization Active NPI

Mobile Imaging, LLC

  • Other Specialist/Technologist
  • Meridian, MS
National Provider Identifier
1548058605
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
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, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MOBILE IMAGING, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Charles Matthew HaneyNPI 1538750914
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)CodeLicenseStatePrimary
Other Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
005302216MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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.

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.

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

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.

Verify at the official NPI Registry.