Organization
VANGUARD IMAGING PARTNERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SCOTT A BUCHANAN (CONTROLLER AND TREASURER)
(937) 208-9679
Entity
Organization
Contact information
Practice address
6251 GOOD SAMARITAN WAY, SUITE 140, HUBER HEIGHTS, OH 45424-5254
(937) 236-4780
Mailing address
PO BOX 635500, CINCINNATI, OH 45263-0001
(937) 236-4780
(937) 236-4855
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
1284IC
OH
261QR0200X
Radiology Clinic/Center
1284IC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2742321
—
OH
01
—
P00437849
RAILROAD MEDICARE
OH
Enumeration date
04/02/2007
Last updated
05/06/2009
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