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Organization
KING'S MEDICAL IMAGING AT WATERMARK, LLC
Active
Organization
KING'S MEDICAL IMAGING AT WATERMARK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. V. RENAE COYNE (DIRECTOR OF BILLING)
(330) 653-3968
Entity
Organization
Contact information
Practice address
1680 WATERMARK DR, STE 101, COLUMBUS, OH 43215-1034
(614) 485-1804
(614) 485-1321
Mailing address
1894 GEORGETOWN RD, HUDSON, OH 44236-4058
(330) 653-3968
(330) 656-1660
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2320698
—
OH
Enumeration date
05/23/2005
Last updated
08/22/2020
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