Note: We probe with ICMP pings to the server from the MX interfaces.
https://documentation.meraki.com/MI/MI_VoIP_Health
It is not clear , but I don't see how the MX could souce the trafic from it's LAN interfaces since you can input a FQDN as shown in the documentation. The MX can't do name resolution from it's lan interfaces , however yes it can source trafic ( it takes the highest vlan id , since the MX doesn't have a mgmt interface )
I hope that it is not only relying on the IP adresses ( if RFC1918 then -> source in the VPN , else source from the WAN ) instead of relying on the route table ( which would make way more sense )
That being said , pretty sure it's always from the WAN interfaces , just like Thousand Eyes.