Organization
VANGUARD IMAGING PARTNERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT A BUCHANAN (CONTROLLER AND TREASURER)
(937) 208-9679
Entity
Organization
Contact information
Practice address
1248 COLUMBUS AVE, LEBANON, OH 45036-8363
(513) 932-1372
(513) 932-5372
Mailing address
PO BOX 635500, CINCINNATI, OH 45263-0001
(513) 932-1372
(513) 932-5372
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
1283IC
OH
261QR0200X
Radiology Clinic/Center
1283IC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2742287
—
OH
01
—
P00437849
RAILROAD MEDICARE
OH
Enumeration date
04/01/2007
Last updated
04/01/2008
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