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KING'S MEDICAL IMAGING AT WATERMARK LLC NPI 1043213077


NPI Information

NPI: 1043213077
Provider Name: KING'S MEDICAL IMAGING AT WATERMARK, LLC
Classification: Physiological Laboratory - 293D00000X
Entity Type: Organization
Address:
1680 WATERMARK DR
STE 101
COLUMBUS, OH
ZIP 43215
Phone: (614) 485-1804
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KING'S MEDICAL IMAGING AT WATERMARK, LLC is a physiological laboratory in Columbus, OH. The provider is a laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. KING'S MEDICAL IMAGING AT WATERMARK, LLC NPI is 1043213077. The provider is registered as an organization entity type.

The provider's business location address is:

1680 WATERMARK DR
STE 101
COLUMBUS, OH
ZIP 43215-034
Phone: (614) 485-1804
Fax: (614) 485-1321

The provider's authorized official is V. Renae Coyne .
The authorized official title is Director Of Billing and has the following contact phone number (330) 653-3968.

The enumeration date for this NPI number is 5/23/2005 and was last updated on 8/22/2020.


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
1293D00000XPhysiological LaboratoryYes

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
12320698MEDICAIDOHIO

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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