Organization
INDIANA MOBILE DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIV RANDHIR KUMAR (MEMBER)
(219) 795-1313
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
08/22/2014
Last updated
08/22/2014
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