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Organization
INSIGHT PROSCAN LLC
Active
Organization
INSIGHT PROSCAN LLC
Active
Other names
Polaris Open MRI
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES F. STANLEY (CFO)
(949) 282-6000
Entity
Organization
Contact information
Practice address
2141 POLARIS PKWY, COLUMBUS, OH 43240-2022
(614) 841-0800
(614) 841-0200
Mailing address
PO BOX 404166, ATLANTA, GA 30384-4166
(949) 282-6000
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2518627
—
OH
01
—
P00195527
RAILROAD MEDICARE
OH
Enumeration date
04/19/2006
Last updated
04/14/2015
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