Organization
COLUMBUS MAMMOGRAPHY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GRANT DAVIES (CEO)
(469) 398-4110
Entity
Organization
Contact information
Practice address
974 BETHEL ROAD, SUITE F, COLUMBUS, OH 43214
(614) 459-7880
(614) 459-3860
Mailing address
15601 DALLAS PARKWAY, STE. 500, ADDISON, TX 75001-6021
(469) 398-4110
(614) 459-3860
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
107276
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0057692
—
OH
Enumeration date
02/12/2007
Last updated
10/20/2021
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