# INDIANA MOBILE RADIOLOGY LLC

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

## Provider details

- **NPI number:** 1962206771
- **Authorized official:** MR. JEAN PIERRE PRISO RT(R) (CEO)
- **Authorized official phone:** (317) 797-1133

## Contact information

- **Practice address:** 3905 VINCENNES RD STE 303, INDIANAPOLIS, IN 46268-3030
- **Practice address phone:** (317) 797-1133
- **Practice address fax:** (317) 471-3508
- **Mailing address:** 3905 VINCENNES RD STE 303, INDIANAPOLIS, IN 46268-3030
- **Mailing address phone:** (317) 827-5058
- **Mailing address fax:** (317) 471-3508

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | — | Yes |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 04/02/2025
- **Last updated:** 04/25/2026