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Program Overview

(Note: Items below that are underlined and in italics are links to additional information)
Welcome to the portable X-ray (PXR) certification program home page.  A PXR supplier is a mobile unit that is not permanently located in a nursing facility or hospital nor fixed at any one location. In Indiana medical radiology professionals are licensed and medical radiation sources (facility/base office and radiation machines) are registered by the Medical Radiology Services Program.  Also, all radiation machines used in Indiana must be inspected by an individual approved by the Medical Radiology Services Program before the equipment may be used on patients in Indiana. The registration is separate and must be completed before PXR certification for Medicare/Medicaid can take place.
Please contact the Medical Radiology Services program (http://www.in.gov/isdh/23279.htm) for the following services:
  • Licensing of radiology professionals (to include radiologic technologists, limited radiographers, nuclear medicine technologists, and radiation therapists)
  • Radiation machine registration and compliance
To be certified and reimbursed by Medicare/Medicaid a PXR must meet the federal Conditions for Coverage found at 42 Code of Federal Regulation (CFR) Part 486, Subparts A-C. A PXR must have a base office address. The supplier, its personnel and its equipment must be licensed or registered as appropriate by the Medical Radiology Services program.  Equipment must meet applicable FDA standards and be registered by the Medical Radiology Services program. The performance of x-ray tests must be under the supervision of a physician. Finally, the PXR must have an onsite survey by surveyors from the PXR Certification Program and found to be in compliance with federal and state regulations before being certified.  

Contact the PXR Certification Program

Indiana State Department of Health
Division of Acute Care
2 North Meridian Street, 4A
Indianapolis, IN 46204
(317) 233-7474 (Acute Care Receptionist)
(317) 233-1325 (ISDH Main Switchboard)

Program Manager
Lorraine Switzer
(317) 233-7502
(317) 233-7495  [Secretary]

Applying for Initial Certification

Initial Certification


CMS 1880: Request for Certification as Supplier of Portable X-ray Services Under the Medicare/Medicaid Program

Federal Laws and Regulations

CMS Conditions for Coverage: State Operations Manual Appendix D


Directory of PXR Service Providers

Report a Complaint or Incident to the ISDH

Report a complaint regarding a health care facility
Individuals can call or email to make complaints about care provided at any licensed or certified Indiana health care providers or suppliers.

Report an incident regarding a health care facility
The Incident Report Form is for health care facilities to notify the Indiana State Department of Health of a reportable incident pursuant to the ISDH Reportable Unusual Occurrence Policy.  The Incident Report Form is also for health care facility staff (nursing homes, intermediate care facilities, and hospice agencies) to report a reasonable suspicion of a crime against a resident pursuant to Federal regulations.  This form is not to be used to file a complaint.

Employment Opportunities

Learn more about Employment Opportunities with the Indiana State Department of Health


Professional Organizations

American Health Information Management Association

Association of Professionals in Infection Control and Epidemiology

Indiana Organ Procurement Organization

Clinical Laboratory Management Association

American Society for Clinical Laboratory Science

American Society for Clinical Pathologists

State Government

Indiana Public Access Counselor

Federal Government

Organ Procurement and Transportation Network

Agency for Healthcare Research and Quality (AHRQ)

Americans with Disabilities Act (ADA)

Centers for Disease Control and Prevention (CDC)

Centers for Medicare and Medicaid Services (CMS)

National Patient Safety Foundation

Office of Civil Rights

Program Information and Policies

State Operations Manual