# KING'S MEDICAL IMAGING AT WATERMARK LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** King's Medical Imaging at Westerville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194853960
- **Authorized official:** MR. WILLIAM E. BEATTIE (COO)
- **Authorized official phone:** (330) 653-3968

## Contact information

- **Practice address:** 484 COUNTY LINE RD W, SUITE 130, WESTERVILLE, OH 43082-7080
- **Practice address phone:** (614) 899-2142
- **Practice address fax:** (614) 899-2468
- **Mailing address:** 484 COUNTY LINE RD W, SUITE 130, WESTERVILLE, OH 43082-7080
- **Mailing address phone:** (614) 899-2142
- **Mailing address fax:** (614) 899-2468

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 293D00000X | Physiological Laboratory | NA | NULL | Yes |

## Other

- **Enumeration date:** 03/01/2007
- **Last updated:** 08/22/2020