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Organization
MOBILERADIOLOGY.ORG LLC
Active
Organization
MOBILERADIOLOGY.ORG LLC
Active
Other names
Source Diagnostics of Indiana
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN A BARRY (COO)
(440) 645-7822
Entity
Organization
Contact information
Practice address
13645 MCKINLEY HWY, UNIT A, MISHAWAKA, IN 46545-7492
(574) 274-2300
Mailing address
5275 NAIMAN RD, SUITE E, SOLON, OH 44139-1033
(440) 645-7822
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
XT010239
IN
Other
Enumeration date
04/08/2009
Last updated
03/14/2012
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