MY MOBILE DIAGNOSTICS IDTF LLC – NPI #1831790864
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.

Health Care Provider Taxonomy Code for Physiological Laboratory

MY MOBILE DIAGNOSTICS IDTF LLC is a physiological laboratory located in INDIANAPOLIS, IN. NPPES has assigned the NPI number 1831790864 to MY MOBILE DIAGNOSTICS IDTF LLC on November 05, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 293D00000X from the Health Care Provider Taxonomy code set, which is classified as Physiological Laboratory.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MY MOBILE DIAGNOSTICS IDTF LLC below.

NPI Profile for
MY MOBILE DIAGNOSTICS IDTF LLC

NPI Number
1831790864
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MY MOBILE DIAGNOSTICS IDTF LLC
Primary location
429 E VERMONT ST STE 110
INDIANAPOLIS, IN 46202-3685
Phone: (317) 912-1548 Fax:
Mailing address
PO BOX 586
GALLOWAY, OH 43119-0586
Phone: (765) 969-7841 Fax: (317) 552-1666
Organization Subpart
No
Authorized Official
STEVE MARTIN
CEO
Phone: (317) 670-6635
Updated
Certification Date
Nov 05, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
293D00000X
- Physiological Laboratory (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.