MY MOBILE DIAGNOSTICS IDTF LLC (NPI# 1831790864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831790864 |
| Entity Type | Organization |
| Organization Name | MY MOBILE DIAGNOSTICS IDTF LLC |
| Practice Address |
429 E Vermont St Ste 110 Indianapolis IN 46202-3685 |
| Mailing Address |
Po Box 586 Galloway OH 43119-0586 |
| Practice Telephone | 3179121548 |
| Mailing Telephone | 7659697841 |
| Mailing Fax Number | 3175521666 |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |
| Authorized Official Name | STEVE MARTIN (CEO) |
| Authorized Official Telephone | 3176706635 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Street Address |
429 E VERMONT ST STE 110 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-3685 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124483078 | My Rehab and Wellness LLC | Occupational Therapist | 429 E Vermont St Ste 110, Indianapolis, IN 46202-3685 | 2015-12-19 |
| 1407473945 | Heidi Rowles | Occupational Therapy Assistant | 429 E Vermont St Ste 110, Indianapolis, IN 46202-3685 | 2020-07-01 |
| 1902420771 | Kaitlyn M Depinet | Nurse Practitioner | 429 E Vermont St Ste 110, Indianapolis, IN 46202-3685 | 2020-06-08 |
| 1306467048 | My Mobile Md Rounding Providers Inc | Psychiatry & Neurology | 429 E Vermont St Ste 110, Indianapolis, IN 46202-3685 | 2020-05-05 |
| 1275154841 | My Mobile Lab LLC | Family Medicine | 429 E Vermont St Ste 110, Indianapolis, IN 46202-3685 | 2020-05-05 |
| 1629623913 | My Mobile Md Northern Indiana | Family Medicine | 429 E Vermont St Ste 110, Indianapolis, IN 46202-3685 | 2019-08-05 |
| 1588122162 | Physician Solutions | Family Medicine | 429 E Vermont St Ste 110, Indianapolis, IN 46202-3685 | 2019-03-04 |
| 1033628680 | My Mobile Diagnostics LLC | Family Medicine | 429 E Vermont St Ste 110, Indianapolis, IN 46202-3685 | 2017-09-27 |
| 1225495716 | My Mobile Md LLC | Family Medicine | 429 E Vermont St Ste 110, Indianapolis, IN 46202-3685 | 2016-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356891568 | Lifetime Imaging LLC | Physiological Laboratory | 5144 E Stop 11 Road, Suite 18, Indianapolis, IN 46237-8606 | 2016-10-12 |
| 1235507773 | Community Imaging Associates, LLC | Physiological Laboratory | 10122 E 10th St Ste 101, Indianapolis, IN 46229-3046 | 2015-09-14 |
| 1376700088 | Medical Diagnostic Services Inc | Physiological Laboratory | Medical Diagnostic Services Inc, 8007 S Meridian St, Indianapolis, IN 46217-2901 | 2008-05-20 |
| 1275502692 | Insight Health Corp | Physiological Laboratory | 8849 Shelby St, Ste B1, Indianapolis, IN 46227-7508 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730717331 | St Marys Health Inc | Physiological Laboratory | 100 St Marys Epworth Xing # C100, Newburgh, IN 47630-9497 | 2020-03-30 |
| 1720555170 | St. Vincent Medical Group, Inc. | Physiological Laboratory | 1300 Innovation Parkway, #150, Greenwood, IN 46143-3625 | 2018-10-24 |
| 1588032023 | Community Imaging Associates, LLC | Physiological Laboratory | 13121 Olio Rd Ste 120, Fishers, IN 46037-7240 | 2015-09-14 |
| 1225406770 | Community Imaging Associates, LLC | Physiological Laboratory | 11911 N Meridian St Ste 175, Carmel, IN 46032-6944 | 2015-09-14 |
| 1962421172 | Indiana Ultrasound Diagnostics | Physiological Laboratory | 205 E Carmel Dr, Carmel, IN 46032-2606 | 2006-07-19 |
| 1619916954 | Imaging Center of North Central Indiana, Inc. | Physiological Laboratory | 2201 West Blvd., Kokomo, IN 46902 | 2006-06-05 |
| 1548239973 | Insight Health Corp. | Physiological Laboratory | 590 Missouri Ave, Ste 200, Clarksville, IN 47129-0000 | 2006-03-16 |
| 1114923976 | Isis Medical, Incorporated | Physiological Laboratory | 119 Garwood Rd, Richmond, IN 47374-6031 | 2005-06-24 |
| 1134696099 | Hancock Health Gateway Services, Inc. | Physiological Laboratory | 6189 W. John L. Modglin Dr., Suite 103, Greenfield, IN 46140-9364 | 2018-10-30 |
| 1851842496 | St. Mary's Health, Inc | Physiological Laboratory | 14020 Old State Rd, Suite A300, Evansville, IN 47725-1164 | 2016-10-19 |
| Find all providers with the same taxonomy | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
Please comment or provide details below to improve the information on MY MOBILE DIAGNOSTICS IDTF LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.