Indiana Mobile Diagnostics LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

INDIANA MOBILE DIAGNOSTICS LLC

Practice address

7895 Broadway
Suite V
Merrillville, IN 46410-5529

Phone

(219) 795-1313

NPI assigned

Aug 22, 2014

Organization subpart

No

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

Authorized official

Name

Shiv Randhir Kumar

Title

Member

Phone

(219) 795-1313

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408665600000",
    "number": "1487054714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7895 BROADWAY",
            "address_2": "SUITE V",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105529",
            "telephone_number": "219-795-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7895 BROADWAY",
            "address_2": "SUITE V",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105529",
            "telephone_number": "219-795-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA MOBILE DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-22",
        "last_updated": "2014-08-22",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "SHIV",
        "authorized_official_middle_name": "RANDHIR",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "219-795-1313"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mobile Radiology Clinic/Center in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Mobile Radiology Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.