Active NPI
Mobile Diagnostics of Indiana
- Health Maintenance Organization
- Indianapolis, IN
National Provider Identifier
1508295320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.