Organization
MOBILE DIAGNOSTICS OF INDIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMILY J HEARN LPN (DIRECTOR)
(317) 488-9581
Entity
Organization
Contact information
Practice address
1070 E 86TH ST, SUITE 72D, INDIANAPOLIS, IN 46240-1862
(317) 488-9581
Mailing address
1070 E 86TH ST, SUITE 72D, INDIANAPOLIS, IN 46240-1862
(317) 488-9581
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
11/02/2013
Last updated
12/09/2013
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