Provider Demographics
NPI:1396712725
Name:MEDICAL SCANNING CONSULTANTS PA
Entity type:Organization
Organization Name:MEDICAL SCANNING CONSULTANTS PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICER (CFO)
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RASCHKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-513-6844
Mailing Address - Street 1:PO BOX 2303
Mailing Address - Street 2:DEPT 163
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46206-2303
Mailing Address - Country:US
Mailing Address - Phone:866-674-7933
Mailing Address - Fax:952-513-6880
Practice Address - Street 1:11900 N PENNSYLVANIA ST
Practice Address - Street 2:SUITE 100
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-4693
Practice Address - Country:US
Practice Address - Phone:317-846-0717
Practice Address - Fax:317-846-0557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-03
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN522760Medicare PIN