Organization
PROSCAN PINK RIBBON CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN E AMAYA (SENIOR DIRECTOR, CORPORATE ADMIN)
(513) 924-5174
Entity
Organization
Contact information
Practice address
5 E LIBERTY ST, CINCINNATI, OH 45202-8202
(513) 241-2873
(513) 241-1296
Mailing address
5 E LIBERTY ST, CINCINNATI, OH 45202-8202
(513) 241-2873
(513) 241-1296
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000384749
ANTHEM PIN
OH
05
—
2655612
—
OH
Enumeration date
01/08/2007
Last updated
02/27/2015
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