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Contact Information

PROSCAN TYLERSVILLE, LLC
7003 LOOMIS LN
LIBERTY TOWNSHIP, OH45069-3898
 Phone: 513-759-7350
 Fax: 513-759-7351
 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 TYLERSVILLE, LLC

NPI # 1972593093
LBN Legal business name PROSCAN TYLERSVILLE, LLC
Authorized official KAREN AMAYA - (COO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/28/2005
Last updated 09/12/2024 - More than a year ago
Identifiers
OH License # 0868IC
OH Medicaid 2356203
OH Other 000000332731 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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