KING'S MEDICAL IMAGING AT WATERMARK, LLC (NPI# 1043213077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043213077 |
| Entity Type | Organization |
| Organization Name | KING'S MEDICAL IMAGING AT WATERMARK, LLC |
| Practice Address |
1680 Watermark Dr Ste 101 Columbus OH 43215-1034 |
| Mailing Address |
1894 Georgetown Rd Hudson OH 44236-4058 |
| Practice Telephone | 6144851804 |
| Practice Fax Number | 6144851321 |
| Mailing Telephone | 3306533968 |
| Mailing Fax Number | 3306561660 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. V. RENAE COYNE (DIRECTOR OF BILLING) |
| Authorized Official Telephone | 3306533968 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2320698 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316075179 | King's Medical Imaging At Watermark, LLC | Physiological Laboratory | 5339 Hendron Rd, Groveport, OH 43125-1055 | 2007-03-01 |
| Street Address |
1680 WATERMARK DR STE 101 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43215-1034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225107022 | Adam Marshall Dawson | Physical Therapist | 1680 Watermark Dr, Suite 200a, Columbus, OH 43215-1034 | 2006-11-07 |
| 1225067432 | Pain Control Consultants Inc | Pain Medicine | 1680 Watermark Dr, Columbus, OH 43215-1034 | 2006-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912529496 | Ade Elisha | Counselor | 61 West Long St, Columbus, OH 43215 | 2020-05-07 |
| 1073140083 | Ryan Jeffrey Stone | Student in an Organized Health Care Education/Training Program | 393 E. Town Street, #116, Columbus, OH 43215 | 2020-03-27 |
| 1316572316 | Covermymeds Specialty Pharmacy LLC | Pharmacy | 2 Miranova Pl 10th Fl, Suite 101, Columbus, OH 43215 | 2020-03-10 |
| 1902443807 | Nicole Marie Thompson | Social Worker | Southeast, Inc., 16 W Long St, Columbus, OH 43215 | 2019-12-10 |
| 1043852858 | Rachel Therese James | Licensed Practical Nurse | 1380 Dublin Rd Suite 100, Columbus, OH 43215 | 2019-10-14 |
| 1447804737 | Remington-davis, Inc. | Specialist | 1335 Dublin Road, Suite 106a, Columbus, OH 43215 | 2019-07-25 |
| 1346892619 | Nicole Nuxol Talley | Nurse Practitioner | 1335 Dublin Rd Ste 124-d, Columbus, OH 43215 | 2019-07-16 |
| 1730650664 | Sierra N White | Marriage & Family Therapist | 399 E. Main Street, Columbus, OH 43215 | 2018-12-17 |
| 1043798937 | David Benjamin Blankenbeckley | Nurse Practitioner | 3 Nationwide Plz Ste 150, Columbus, OH 43215 | 2018-08-01 |
| 1891272795 | Tiffany Mindigo | Nurse Practitioner | 1335 Dublin Rd Ste 114e, Columbus, OH 43215 | 2018-07-24 |
| Find all providers in zip 43215 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| 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. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689623449 | Diagnostic Health Corporation | Physiological Laboratory | 2131 Comer Avenue, Columbus, GA 31904 | 2006-05-09 |
| 1831154996 | Insight Proscan LLC | Physiological Laboratory | 2141 Polaris Pkwy, Columbus, OH 43240-2022 | 2006-04-19 |
| 1083613699 | Imaging Center of Columbus, LLC | Physiological Laboratory | 2526 5th St N, Columbus, MS 39705-2019 | 2005-07-15 |
| 1609019629 | New Age Diagnostic Imaging, LLC | Physiological Laboratory | 3100 Gentian Blvd, Suite 22b, Columbus, GA 31907-5636 | 2009-04-07 |
| 1326017666 | Insight Health Corp | Physiological Laboratory | 750 E Broad St, Columbus, OH 43205-1000 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912356726 | Ordinary24, LLC | Physiological Laboratory | 4301 Darrow Rd, Suite 4400a, Stow, OH 44224-2694 | 2016-06-13 |
| 1508239161 | Mccullough Hyde Memorial Hospital Inc | Physiological Laboratory | 79 W Central Ave Ste 2, Camden, OH 45311-1007 | 2015-11-04 |
| 1689077125 | Self-employed | Physiological Laboratory | 95b Barley Dr, Painesville, OH 44077-5349 | 2014-09-29 |
| 1689000580 | American Mobile X-ray, LLC | Physiological Laboratory | 6802 Menz Ln, Cincinnati, OH 45233-4311 | 2013-09-24 |
| 1669731865 | Zin Medical Inc | Physiological Laboratory | 10000 Cedar Ave, Suite 2-131 Mail Stop #17, Cleveland, OH 44106-2103 | 2012-05-08 |
| 1013140524 | The Cos Companies | Physiological Laboratory | 820 S North St, Washington Court House, OH 43160-2262 | 2009-08-31 |
| 1285808071 | Specialized Pulse Oximetry Testing Service, LLC | Physiological Laboratory | 1436 Yankee Park Pl # K, Dayton, OH 45458-1899 | 2008-04-14 |
| 1831303551 | Trendy Oximetry Ltd | Physiological Laboratory | 6048l W Central Ave, Toledo, OH 43615-1872 | 2007-05-10 |
| 1063539062 | Neumed | Physiological Laboratory | 9906 Norwalk Rd, Litchfield, OH 44253-9502 | 2007-03-23 |
| 1316075179 | King's Medical Imaging At Watermark, LLC | Physiological Laboratory | 5339 Hendron Rd, Groveport, OH 43125-1055 | 2007-03-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.