MOBILERADIOLOGY.ORG LLC (NPI# 1922241835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922241835 |
| 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 Rd Suite E Solon OH 44139-1033 |
| Practice Telephone | 5742742300 |
| Mailing Telephone | 4406457822 |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2012-03-14 |
| 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 | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | XT010239 | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200943790 | 05 |
| 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 |
|---|---|---|---|---|
| 1124394895 | Mobileradiology.org, LLC | Clinic/Center | 13645 Mckinley Hwy, Unit A, Mishawaka, IN 46545-7492 | 2012-03-28 |
| 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 | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720545296 | All-stat Portable In, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3458 Stellhorn Rd Ste B, Fort Wayne, IN 46815-4630 | 2019-02-21 |
| 1053833194 | Crown Radiology Associates | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5371 72nd Ave, Schererville, IN 46375-5352 | 2017-07-11 |
| 1588049746 | Schryver Medical Sales and Marketing LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3815 River Crossing Pkwy, Suite 100, Indianapolis, IN 46240-7746 | 2015-07-29 |
| 1205227881 | Symphony Diagnostic Services No 1 LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2901a Parnell Ave, Fort Wayne, IN 46805-2548 | 2015-02-18 |
| 1164850996 | Touhy Diagnostic At Home, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1955 Harder Ct, Suite# E, Schererville, IN 46375-1696 | 2013-10-14 |
| 1215254891 | Medlife Diagnostic Services, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 8892 Louisiana St Ste B, Merrillville, IN 46410-7153 | 2010-04-22 |
| 1306174487 | Indy Medical Supplies LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 650 S 800 E, Zionsville, IN 46077-9716 | 2009-11-30 |
| 1659578409 | Northeast X-ray | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2928 Parnell Ave, Fort Wayne, IN 46805-2500 | 2007-06-27 |
| 1831254424 | Midwest X-ray, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1031 Mount Auburn Rd, Evansville, IN 47720-8226 | 2006-12-26 |
| 1326012873 | Mobile Health Care, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4511 N Johnson Rd, Michigan City, IN 46360-7675 | 2006-02-13 |
| 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.