Organization
WESTERN HILLS OPEN MRI, LLC
Active
Other names
Proscan Imaging Westside
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN E AMAYA (SR DIRECTOR, CORPORATE ADMINIST.)
(513) 924-5174
Entity
Organization
Contact information
Practice address
6125 HARRISON AVE, SUITE A, CINCINNATI, OH 45247-2812
(513) 699-5565
(513) 699-5564
Mailing address
6125 HARRISON AVE, SUITE A, CINCINNATI, OH 45247-2812
(513) 699-5565
(513) 699-5564
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0640IC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000351219
ANTHEM PIN
OH
05
—
2202413
—
OH
05
—
7100009600
—
KY
01
—
P00300862
RAILROAD MEDICARE
OH
Enumeration date
10/28/2005
Last updated
03/11/2013
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