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Contact Information

PROSCAN IMAGING OF TROY, LLC
810 FALLS CREEK DR STE A
VANDALIA, OH45377-8600
 Phone: 937-440-6781
 Fax: 937-440-9734
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Magnetic Resonance Imaging (MRI)

261QM1200X
Indicates primary specialty

NPI Profile & details for PROSCAN IMAGING OF TROY, LLC

NPI Number 1073571238
LBN Legal business name PROSCAN IMAGING OF TROY, LLC
Authorized official KAREN AMAYA - (COO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/03/2006
Last updated 10/20/2023 - About 3 years ago
Identifiers
OH License # 1217IC
OH Medicaid 2697630
Other 000000388577 ANTHEM PIN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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