Organization
NORTHLAND DIAGNOSTIC IMAGING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AJAY SYAM DC (OWNER)
(614) 444-5340
Entity
Organization
Contact information
Practice address
1430 S HIGH ST, COLUMBUS, OH 43207-1045
(614) 444-5340
(614) 444-5342
Mailing address
1430 S HIGH ST, COLUMBUS, OH 43207-1045
(614) 444-5340
(614) 444-5342
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1994228
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1994228
STATE OF OHIO CERTIFICATE
OH
Enumeration date
08/06/2015
Last updated
08/06/2015
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