Organization
PROSCAN IMAGING OF PICKERINGTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN AMAYA (COO)
(513) 924-5174
Entity
Organization
Contact information
Practice address
1797 HILL RD N STE 102, PICKERINGTON, OH 43147-7996
(614) 920-6364
Mailing address
417 HILL RD N, PICKERINGTON, OH 43147-1310
(614) 920-6364
(614) 920-6368
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1206IC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000389018
ANTHEM PIN
—
Enumeration date
05/03/2006
Last updated
11/04/2019
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