Organization Active NPI

Mobile Diagnostics of Indiana

  • Health Maintenance Organization
  • Indianapolis, IN
National Provider Identifier
1508295320
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
MOBILE DIAGNOSTICS OF INDIANA
Practice address
1070 E 86TH St
Suite 72D
Indianapolis, IN 46240-1862
Phone
(317) 488-9581
NPI assigned
Nov 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

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

Authorized official

Name
Mrs. Emily J Hearn, LPN
Title
Director
Phone
(317) 488-9581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

1070 E 86TH St
Suite 72D
Indianapolis, IN 46240-1862

Mailing address

1070 E 86TH St
Suite 72D
Indianapolis, IN 46240-1862
Phone (317) 488-9581

National Provider Directory

National Provider Directory

Locations

1070 E 86th St
Ste 72D
Indianapolis, IN 46240
Phone (317) 488-9581

NPI Registry JSON

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1508295320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 E 86TH ST",
            "address_2": "SUITE 72D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401862",
            "telephone_number": "317-488-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 E 86TH ST",
            "address_2": "SUITE 72D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401862",
            "telephone_number": "317-488-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE DIAGNOSTICS OF INDIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "HEARN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "317-488-9581",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.