Organization
INSIGHT PROSCAN LLC
Active
Other names
Polaris Open MRI
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES F. STANLEY (CFO)
(949) 282-6000
Entity
Organization
Contact information
Practice address
2141 POLARIS PKWY, COLUMBUS, OH 43240-2022
(614) 841-0800
(614) 841-0200
Mailing address
PO BOX 404166, ATLANTA, GA 30384-4166
(949) 282-6000
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2518627
—
OH
01
—
P00195527
RAILROAD MEDICARE
OH
Enumeration date
04/19/2006
Last updated
04/14/2015
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