Organization
PROSCAN RADIOLOGY, LLC
Active
Organization
PROSCAN RADIOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH N WALLACE (CFO)
(513) 281-3400
Entity
Organization
Contact information
Practice address
5400 KENNEDY AVE, CINCINNATI, OH 45213-2664
(513) 281-3400
(513) 527-2275
Mailing address
5400 KENNEDY AVE, CINCINNATI, OH 45213-2664
(513) 281-3400
(513) 527-2275
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0027626
—
NJ
05
—
03733011
—
MS
05
—
1008658800001
—
PA
05
—
20002178
—
NH
05
—
2552956
—
OH
01
—
298152
AMERIGROUP
—
05
—
3810007868
—
WV
05
—
4401045
—
TN
05
—
65940819
—
KY
05
—
7136252
—
WA
05
—
954728
—
AZ
05
—
QPB842
—
SC
Enumeration date
10/28/2005
Last updated
11/13/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up