PROSCAN IMAGING OF INDIANAPOLIS LLC NPI 1811057938

NPI Information

NPI: 1811057938
Provider Name: PROSCAN IMAGING OF INDIANAPOLIS, LLC

Doing Business As: PROSCAN IMAGING OF FISHERS

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
9780 LANTERN RD
SUITE 250
FISHERS, IN
ZIP 46037
Phone: (317) 579-7700
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PROSCAN IMAGING OF INDIANAPOLIS, LLC is a diagnostic radiology radiology in Fishers, IN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PROSCAN IMAGING OF INDIANAPOLIS, LLC NPI is 1811057938. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Proscan Imaging Of Fishers.

The provider's business location address is:

9780 LANTERN RD
SUITE 250
FISHERS, IN
ZIP 46037-092
Phone: (317) 579-7700
Fax: (317) 579-8800

The provider's authorized official is Mike D. O'brien .
The authorized official title is Coo and has the following contact phone number 51392813400.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 1/28/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000477513	OTHER		ANTHEM PIN
2	247590	MEDICARE PIN	INDIANA
3	P00406411	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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