Organization
PROSCAN IMAGING OF INDIANAPOLIS, LLC
Active
Organization
PROSCAN IMAGING OF INDIANAPOLIS, LLC
Active
Other names
ProScan Imaging of Avon
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D. O'BRIEN (COO)
(513) 281-3400
Entity
Organization
Contact information
Practice address
5250 E US HIGHWAY 36, PRESTWICK POINTE SUITE 220, AVON, IN 46123-9199
(317) 745-3200
(317) 745-4214
Mailing address
5250 E US HIGHWAY 36, PRESTWICK POINTE SUITE 220, AVON, IN 46123-9199
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000477513
ANTHEM PIN
—
Enumeration date
12/11/2006
Last updated
01/25/2008
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