Organization
PROSCAN IMAGING OF INDIANAPOLIS, LLC
Active
Organization
PROSCAN IMAGING OF INDIANAPOLIS, LLC
Active
Other names
ProScan Imaging of Carmel
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D. O'BRIEN (COO)
(513) 281-3400
Entity
Organization
Contact information
Practice address
1185 W CARMEL DR, SUITE D-1, CARMEL, IN 46032-8706
(317) 706-1700
(317) 706-1705
Mailing address
1185 W CARMEL DR, SUITE D-1, CARMEL, IN 46032-8706
(317) 706-1700
(317) 706-1705
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
06/04/2006
Last updated
01/28/2008
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