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SOURCE DIAGNOSTICS OF INDIANA
NPI 1124394895
Clinic/Center - Radiology, Mobile in Mishawaka, IN

Active since March 28, 2012
13645 MCKINLEY HWY, UNIT A, MISHAWAKA, IN 46545(574) 274-2300 Get Directions Write a Review

NPPES record last updated: March 6, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Source Diagnostics Of Indiana NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOURCE DIAGNOSTICS OF INDIANA (NPI 1124394895) is a healthcare organization registered as a radiology, mobile in Mishawaka, Indiana and active in the NPI registry since March 2012. The organization lists Kathleen A Barry, Coo, as its authorized official.

NPPES Registry Identity

NPI1124394895
Entity TypeOrganization
Primary Taxonomy261QR0208X
Legal Business NameMOBILERADIOLOGY.ORG, LLC
Location Address13645 MCKINLEY HWY, UNIT AMishawaka, IN 46545-7492
Mailing Address5275 Naiman Pkwy, Ste ESolon, OH 44139-1029 · (440) 542-1515
Phone(574) 274-2300
Organization SubpartNo
Authorized OfficialKathleen A BarryCoo · (440) 645-7822
Enumeration DateMarch 28, 2012
Last NPPES UpdateMarch 6, 2013
✔ NPI 1124394895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Radiology, MobileAmbulatory Health Care Facilities
Taxonomy Code261QR0208X
13645 MCKINLEY HWY, Mishawaka, IN 46545
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Other Names 1

Doing Business AsSource Diagnostics Of Indiana

Other Identifiers 1

Medicare PINM300051794IN

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOBILERADIOLOGY.ORG LLC
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
13645 MCKINLEY HWY, UNIT A
MISHAWAKA, IN 46545
St. Joseph County (574) 274-2300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mobileradiology.Org, LLC's NPI number?

The NPI number for Mobileradiology.Org, LLC is 1124394895. It was assigned to this organization in the NPPES registry on March 28, 2012. The provider is doing business as Source Diagnostics Of Indiana.

Where is Mobileradiology.Org, LLC located?

Mobileradiology.Org, LLC is located at 13645 Mckinley Hwy Unit A, Mishawaka, IN 46545. The listed phone number is (574) 274-2300.

What is Mobileradiology.Org, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, Mobile, with taxonomy code 261QR0208X.

When was this NPI record last updated?

The NPPES record for Mobileradiology.Org, LLC was last updated on March 6, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.