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Contact Information

KING'S MEDICAL IMAGING AT WATERMARK, LLC
1680 WATERMARK DR
STE 101
COLUMBUS, OH43215-1034
 Phone: 614-485-1804
 Fax: 614-485-1321
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physiological Laboratory, (Independent Physiological Lab)

293D00000X 47 Independent Diagnostic Testing Facility (IDTF)
Indicates primary specialty

NPI Profile & details for KING'S MEDICAL IMAGING AT WATERMARK, LLC

NPI Number 1043213077
LBN Legal business name KING'S MEDICAL IMAGING AT WATERMARK, LLC
Authorized official V. COYNE - (DIRECTOR OF BILLING)
Entity Organization
Organization subpart 1 No
Enumeration date 05/23/2005
Last updated 08/22/2020 - About 6 years ago
Identifiers
OH Medicaid 2320698
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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