# INDIANA MOBILE DIAGNOSTICS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184032393
- **Authorized official:** NOMAN A KIDWAI MD (MEMBER)
- **Authorized official phone:** (219) 785-1313

## Contact information

- **Practice address:** 7895 BROADWAY, SUITE \# V, MERRILLVILLE, IN 46410-5529
- **Practice address phone:** (219) 795-1313
- **Mailing address:** 7895 BROADWAY, SUITE \# V, MERRILLVILLE, IN 46410-5529
- **Mailing address phone:** (219) 795-1313

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0208X | Mobile Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/31/2014
- **Last updated:** 03/09/2015