National Provider Identifier Database

PROSCAN TYLERSVILLE LLC
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

PROSCAN TYLERSVILLE, LLC
7003 LOOMIS LN
LIBERTY TOWNSHIP, OH45069-3898
Phone: 513-759-7350
Fax: 513-759-7351
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X
Magnetic Resonance Imaging (MRI) 261QM1200X

* Indicates primary specialty

NPI Profile & details for PROSCAN TYLERSVILLE, LLC

NPI Number 1972593093
Legal business name
LBN
PROSCAN TYLERSVILLE, LLC
Authorized official KAREN AMAYA - (COO)
Entity Organization
Organization subpart No
Enumeration date 10/28/2005
Last updated 09/12/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • OH License #: 0868IC
  • OH Medicaid: 2356203
  • OH Other: 000000332731 ANTHEM PIN

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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