# KING DIAGNOSTIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043466915
- **Authorized official:** KEVIN K GRANGER (PRESIDENT)
- **Authorized official phone:** (614) 582-2135

## Contact information

- **Practice address:** 1349 MCNAUGHTEN RD, COLUMBUS, OH 43232-1678
- **Practice address phone:** (614) 582-2135
- **Mailing address:** 391 FALLRIVER DR, REYNOLDSBURG, OH 43068-7102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 1140 | OH | Yes |

## Other

- **Enumeration date:** 08/12/2008
- **Last updated:** 08/12/2008