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NORTHEASTERN HIGH-FIELD MRI LLC NPI 1730179821


NPI Information

NPI: 1730179821
Provider Name: NORTHEASTERN HIGH-FIELD MRI, LLC

Doing Business As: PROSCAN IMAGING MASON

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
4900 PARKWAY DR
SUITE 140
MASON, OH
ZIP 45040
Phone: (513) 459-2525
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NORTHEASTERN HIGH-FIELD MRI, LLC is a diagnostic radiology radiology in Mason, OH. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. NORTHEASTERN HIGH-FIELD MRI, LLC NPI is 1730179821. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Proscan Imaging Mason.

The provider's business location address is:

4900 PARKWAY DR
SUITE 140
MASON, OH
ZIP 45040-429
Phone: (513) 459-2525
Fax: (513) 459-7555

The provider's authorized official is Michael D. O'brien .
The authorized official title is Coo and has the following contact phone number (513) 281-3400.

The enumeration date for this NPI number is 10/28/2005 and was last updated on 1/25/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic Radiology0639ICOHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12209158MEDICAIDOHIO
2ID00811MEDICARE ID-TYPE UNSPECIFIEDOHIOMEDICARE
3000000351228OTHERANTHEM 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: 4/28/2024

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