Organization
PROSCAN IMAGING GAHANNA, LLC
Active
Organization
PROSCAN IMAGING GAHANNA, LLC
Active
Other names
Proscan Imaging Gahanna
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN E AMAYA (SENIOR DIRECTOR, CORPORATE ADMIN.)
(513) 924-5174
Entity
Organization
Contact information
Practice address
5593 N HAMILTON RD, GAHANNA, OH 43230-1321
(614) 855-8740
(614) 855-8745
Mailing address
5400 KENNEDY AVE, ATTN: CREDENTIALING, CINCINNATI, OH 45213-2664
(513) 281-3400
(513) 527-2275
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0768IC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2305946
—
OH
Enumeration date
10/28/2005
Last updated
09/28/2015
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