Source Diagnostics Of Indiana

LBN: Mobileradiology.Org Llc
Source Diagnostics Of Indiana is an health care organization with primary practice located at 13645 Mckinley Hwy Unit A, Mishawaka IN 46545-7492. The organization recently has only one registered license in Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier, which is considered as the primary health care specialty. Mobileradiology.Org Llc can be contacted via phone (574) 274-2300, or through Barry, Kathleen A via phone (440) 645-7822.

Contact Information

Primary practice address
13645 Mckinley Hwy Unit A Mishawaka IN 46545-7492
Phone: (574) 274-2300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Barry, Kathleen A
Phone: (440) 645-7822

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X XT010239 Indiana

Profile Details

NPI number 1922241835
LBN Legal business name Mobileradiology.Org Llc
DBA Doing business as Source Diagnostics Of Indiana
Authorized official Barry, Kathleen A
Entity Organization
Organization subpart 1 No
Enumeration date Apr 8th, 2009
Last updated Mar 14th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922241835 NPPES
Indiana MEDICAID 200943790

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