Organization
INDIANA MOBILE DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOMAN A KIDWAI MD (MEMBER)
(219) 785-1313
Entity
Organization
Contact information
Practice address
7895 BROADWAY, SUITE # V, MERRILLVILLE, IN 46410-5529
(219) 795-1313
Mailing address
7895 BROADWAY, SUITE # V, MERRILLVILLE, IN 46410-5529
(219) 795-1313
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
07/31/2014
Last updated
03/09/2015
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