Organization
PROSCAN OPEN MRI EAST, LTD.
Active
Other names
ProScan Imaging Eastgate
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN E AMAYA (SR. DIR. CORP. ADMIN.)
(513) 924-5174
Entity
Organization
Contact information
Practice address
4440 GLEN ESTE WITHAMSVILLE RD, SUITE 1100, CINCINNATI, OH 45245-1318
(513) 281-3400
(513) 527-2275
Mailing address
4440 GLEN ESTE WITHAMSVILLE RD, SUITE 1100, CINCINNATI, OH 45245-1318
(513) 947-9801
(513) 947-8911
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2141257
—
OH
01
—
470001875
RAILROAD MEDICARE
OH
05
—
86000502
—
KY
Enumeration date
10/28/2005
Last updated
06/26/2013
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