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COLUMBUS RADIOLOGY CORP NPI 1669408159


NPI Information

NPI: 1669408159
Provider Name: COLUMBUS RADIOLOGY CORP
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 36D2267328

Address:
111 S GRANT AVE
3RD FLOOR RADIOLOGY DEPT
COLUMBUS, OH
ZIP 43215
Phone: (888) 271-3826
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COLUMBUS RADIOLOGY CORP is a diagnostic radiology radiology in Columbus, OH. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. COLUMBUS RADIOLOGY CORP NPI is 1669408159. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

111 S GRANT AVE
3RD FLOOR RADIOLOGY DEPT
COLUMBUS, OH
ZIP 43215-701
Phone: (888) 271-3826
Fax: (614) 566-8385

The provider's authorized official is Keith M Harrington .
The authorized official title is Vice President and has the following contact phone number (424) 218-9368.

The CLIA number assigned to this NPI record is 36D2267328 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/25/2006 and was last updated on 5/26/2023.


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
12085R0204XRadiologyVascular & Interventional RadiologyNo
22085R0202XRadiologyDiagnostic RadiologyYes

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
12974509MEDICAIDOHIO

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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