NPI 1043213077

King's Medical Imaging at Watermark, LLC

Organisation Physiological Laboratory Columbus, OH

Practice location

Address: 1680 Watermark Dr STE 101, Columbus, OH 43215-1034
Phone: (614) 485-1804
Fax: (614) 485-1321
Mailing address: 1894 Georgetown Rd, Hudson, OH 44236-4058

Authorised official

Name: V. Renae Coyne
Title: Director of Billing
Phone: (330) 653-3968

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

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Registry record

NPI: 1043213077
Entity type: Organization
NPI issued: 23 May 2005
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.