MOBILERADIOLOGY.ORG, LLC (NPI# 1124394895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124394895 |
| Entity Type | Organization |
| Organization Name | MOBILERADIOLOGY.ORG, LLC |
| Other Organization Name | SOURCE DIAGNOSTICS OF INDIANA |
| Practice Address |
13645 Mckinley Hwy Unit A Mishawaka IN 46545-7492 |
| Mailing Address |
5275 Naiman Pkwy Ste E Solon OH 44139-1029 |
| Practice Telephone | 5742742300 |
| Mailing Telephone | 4405421515 |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2013-03-06 |
| Authorized Official Name | MS. KATHLEEN A BARRY (COO) |
| Authorized Official Telephone | 4406457822 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Source Diagnostics of Indiana | Doing Business As Name - Organization |
| Street Address |
13645 MCKINLEY HWY UNIT A |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46545-7492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922241835 | Mobileradiology.org LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 13645 Mckinley Hwy, Unit A, Mishawaka, IN 46545-7492 | 2009-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824103 | Senior Helpers | In Home Supportive Care | 230 Catalpa Drive Suite B, Mishawaka, IN 46545 | 2019-08-01 |
| 1093272114 | Candice Marie Greathouse | Physical Therapy Assistant | 3630 Hickory Road, Mishawaka, IN 46545 | 2019-02-25 |
| 1639662596 | Mishawaka Rcf Lp | Assisted Living Facility | 3630 Hickory Rd, Mishawaka, IN 46545 | 2018-06-14 |
| 1760907299 | Timothy John Howard | Emergency Medicine | 610 1/2 N Main Street, Apartment 1, Mishawaka, IN 46545 | 2017-08-05 |
| 1699203612 | Paridhie Vasudevan | Dentist | 6502 Grape Rd Ste 882, Mishawaka, IN 46545 | 2017-06-03 |
| 1780134650 | Ossip Optometry, PC | Optometrist | 5111 N. Main Street, Suite 200, Mishawaka, IN 46545 | 2016-10-04 |
| 1457730038 | Melissa Anne Douthit | Nurse Practitioner | 3665 Park Pl W Ste 300, Mishawaka, IN 46545 | 2015-05-28 |
| 1558759654 | Spine and Joint Associates of Plymouth, Inc | Chiropractor | 229 Red Coach, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1609264795 | Spine and Joint Associates of Mishawaka, Inc | Chiropractor | 229 Red Coach Trail, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1508260795 | Maribel Smith | Counselor | 2989 Heritage Ct, Mishawaka, IN 46545 | 2014-10-16 |
| Find all providers in zip 46545 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275945925 | Radiology Medical Consultants of Indiana | Clinic/Center | 250 E Carmel Dr, Carmel, IN 46032-2635 | 2014-05-29 |
| 1619165396 | Kentuckiana Motion X-ray, Inc. | Clinic/Center | 2403 Gutford Rd, Clarksville, IN 47129-9051 | 2007-10-09 |
| 1124236740 | Kentuckiana Radiology Services, Inc | Clinic/Center | 858 S Penn Ave, Sellersburg, IN 47172-1627 | 2007-05-18 |
| 1548201452 | 1012 Investments, LLC | Clinic/Center | 9120 S County Road 800 W, Daleville, IN 47334-9421 | 2006-06-10 |
| 1578548814 | Specialized Imaging Services, Inc | Clinic/Center | 574 Bridge St, Mooresville, IN 46158-1342 | 2005-12-09 |
| 1063013761 | Convenient Ultrasounds | Clinic/Center | 10822 Lantern View Dr Apt 307, Fishers, IN 46038-4204 | 2020-11-08 |
| 1295348076 | All-stat Portable In, LLC | Clinic/Center | 3458 Stellhorn Rd Ste B, Fort Wayne, IN 46815-4630 | 2020-08-31 |
| 1053934414 | Pdi Health In LLC | Clinic/Center | 333 N Alabama St Ste 350, Indianapolis, IN 46204-2275 | 2020-05-20 |
| 1487054714 | Indiana Mobile Diagnostics LLC | Clinic/Center | 7895 Broadway, Suite V, Merrillville, IN 46410-5529 | 2014-08-22 |
| 1184032393 | Indiana Mobile Diagnostics, LLC | Clinic/Center | 7895 Broadway, Suite # V, Merrillville, IN 46410-5529 | 2014-07-31 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.