Organization
PROSCAN IMAGING BROAD STREET 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
750 E BROAD ST, COLUMBUS, OH 43205-1126
(614) 621-9100
Mailing address
750 E BROAD ST, COLUMBUS, OH 43205-1126
(614) 621-9100
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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