Organization
NORTHEASTERN HIGH-FIELD MRI, LLC
Active
Organization
NORTHEASTERN HIGH-FIELD MRI, LLC
Active
Other names
Proscan Imaging Mason
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D. O'BRIEN (COO)
(513) 281-3400
Entity
Organization
Contact information
Practice address
4900 PARKWAY DR, SUITE 140, MASON, OH 45040-8429
(513) 459-2525
(513) 459-7555
Mailing address
4790 RED BANK EXPY, SUITE 128, CINCINNATI, OH 45227-1598
(513) 281-3400
(513) 527-2275
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0639IC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000351228
ANTHEM PIN
—
05
—
2209158
—
OH
Enumeration date
10/28/2005
Last updated
01/25/2008
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