Organization
PROSCAN IMAGING OF TROY, LLC
Active
Organization
PROSCAN IMAGING OF TROY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN E AMAYA (COO)
(513) 924-5174
Entity
Organization
Contact information
Practice address
810 FALLS CREEK DR STE A, VANDALIA, OH 45377-8600
(937) 440-6781
(937) 440-9734
Mailing address
810 FALLS CREEK DR STE A, VANDALIA, OH 45377-8600
(937) 440-6781
(937) 440-9734
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1217IC
OH
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000388577
ANTHEM PIN
—
05
—
2697630
—
OH
Enumeration date
05/03/2006
Last updated
10/20/2023
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