| NPI | 1922241835 |
|---|---|
| Doing Business As | SOURCE DIAGNOSTICS OF INDIANA |
| Entity Type | Organization |
| Authorized Contact | KATHLEEN A BARRY COO 440-645-7822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: IN xt010239) |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2012-03-14 |