Organization
INDIANA MOBILE RADIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEAN PIERRE PRISO RT(R) (CEO)
(317) 797-1133
Entity
Organization
Contact information
Practice address
3905 VINCENNES RD STE 303, INDIANAPOLIS, IN 46268-3030
(317) 797-1133
(317) 471-3508
Mailing address
3905 VINCENNES RD STE 303, INDIANAPOLIS, IN 46268-3030
(317) 827-5058
(317) 471-3508
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
04/02/2025
Last updated
04/25/2026
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