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Contact Information

KING'S MEDICAL IMAGING AT WATERMARK LLC
484 COUNTY LINE RD W
SUITE 130
WESTERVILLE, OH43082-7080
 Phone: 614-899-2142
 Fax: 614-899-2468
 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 1194853960
LBN Legal business name KING'S MEDICAL IMAGING AT WATERMARK LLC
Authorized official WILLIAM BEATTIE - (COO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/01/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
License # NA
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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