Proscan Imaging Of Indianapolis, LLC
Radiology, Diagnostic Radiology in Avon, IN. Organization (NPI-2).
NPI number1043370174
StatusActive
Last updated in NPPESJan 25, 2008
Details
- NPI
- 1043370174
- Entity type
- Organization (NPI-2)
- Legal business name
- Proscan Imaging Of Indianapolis, LLC
- Organization subpart
- No
- Enumeration date
- Dec 11, 2006
- Last updated
- Jan 25, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - INDEPENDENT DIAGNOSTIC TESTING FACILITY (I
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | – | – | Yes |
Other names
- Proscan Imaging Of Avon (Doing Business As)
Practice location
5250 E Us Highway 36Prestwick Pointe Suite 220
Avon, IN 46123-9199
Phone 317-745-3200 · Fax 317-745-4214
Mailing address
5250 E Us Highway 36Prestwick Pointe Suite 220
Avon, IN 46123-9199
Authorized official
Michael D. O'Brien
Coo
5132813400
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