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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