Organization
CANYON MEDICAL CENTER, INC.
Active
Organization
CANYON MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE FOSTER (ADMINISTRATIVE ASSISTANT)
(614) 864-6010
Entity
Organization
Contact information
Practice address
5969 E BROAD ST, SUITE 200, COLUMBUS, OH 43213-1546
(614) 864-6010
Mailing address
5969 E BROAD ST, SUITE 200, COLUMBUS, OH 43213-1546
(614) 864-6010
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0595486
—
OH
Enumeration date
08/23/2007
Last updated
06/20/2008
Update your record
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