# MOBILERADIOLOGY.ORG LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Source Diagnostics of Indiana
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922241835
- **Authorized official:** MS. KATHLEEN A BARRY (COO)
- **Authorized official phone:** (440) 645-7822

## Contact information

- **Practice address:** 13645 MCKINLEY HWY, UNIT A, MISHAWAKA, IN 46545-7492
- **Practice address phone:** (574) 274-2300
- **Mailing address:** 5275 NAIMAN RD, SUITE E, SOLON, OH 44139-1033
- **Mailing address phone:** (440) 645-7822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | XT010239 | IN | Yes |

## Other

- **Enumeration date:** 04/08/2009
- **Last updated:** 03/14/2012