Organization
IVIM, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAYLOR KANTOR MD (MEDICAL DIRECTOR)
(614) 940-2204
Entity
Organization
Contact information
Practice address
4200 REGENT ST STE 200, COLUMBUS, OH 43219-6229
(877) 581-2210
(614) 968-8840
Mailing address
4200 REGENT ST STE 200, COLUMBUS, OH 43219-6229
(877) 581-2210
(614) 968-8840
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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