Organization
CAPITAL IMAGING,LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES CLARK (OWNER/INVESTOR)
(614) 595-8867
Entity
Organization
Contact information
Practice address
3132 OLENTANGY RIVER RD, COLUMBUS, OH 43202-1517
(614) 784-8522
(614) 784-8566
Mailing address
3132 OLENTANGY RIVER RD, COLUMBUS, OH 43202-1517
(614) 784-8522
(614) 784-8566
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2317077
—
OH
Enumeration date
12/09/2005
Last updated
07/21/2022
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