KING'S MEDICAL IMAGING AT WATERMARK, LLC (NPI# 1316075179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316075179 |
| Entity Type | Organization |
| Organization Name | KING'S MEDICAL IMAGING AT WATERMARK, LLC |
| Other Organization Name | KING'S MEDICAL IMAGING AT GROVEPORT |
| Practice Address |
5339 Hendron Rd Groveport OH 43125-1055 |
| Practice Telephone | 6148350358 |
| Practice Fax Number | 6148350712 |
| Mailing Telephone | 6148350358 |
| Mailing Fax Number | 6148350712 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. WILLIAM E. BEATTIE (COO) |
| Authorized Official Telephone | 3306533689 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | NA | Laboratories |
| Other Name | Type Code |
|---|---|
| King's Medical Imaging at Groveport | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043213077 | King's Medical Imaging At Watermark, LLC | Physiological Laboratory | 1680 Watermark Dr, Ste 101, Columbus, OH 43215-1034 | 2005-05-23 |
| Street Address |
5339 HENDRON RD |
| City | GROVEPORT |
| State | OH |
| Zip Code | 43125-1055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205108347 | Mount Carmel Health System | Preventive Medicine | 5339 Hendron Rd, Groveport, OH 43125-1055 | 2012-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360713 | Loretta S Zornes | Home Health Aide | 5070 Bixby Rd, Groveport, OH 43125 | 2020-09-14 |
| 1003364431 | Marshall Dental LLC | Dentist | 446 Professional Parkway, Groveport, OH 43125 | 2016-09-14 |
| 1225449895 | Nicole Pratte Walter | Psychologist | 5490 Clyde Moore Dr., Suite C, Groveport, OH 43125 | 2014-05-16 |
| 1598102337 | Berwin Ralph Miller Jr. | Nurse Practitioner | 6011 Groveport Road, Groveport, OH 43125 | 2013-06-03 |
| 1154618395 | Cindy Lou Blackstone | Licensed Practical Nurse | 5347 Victoria St, Groveport, OH 43125 | 2011-07-08 |
| 1447413398 | The Tamarkin Company | Pharmacy | 3841 S Hamilton Road, Groveport, OH 43125 | 2008-07-09 |
| 1508067034 | Barbara Jo Anderson | Registered Nurse | 4053 Walnut Crossing Drive, Groveport, OH 43125 | 2007-05-31 |
| 1942234661 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 6011 Groveport Rd, Groveport, OH 43125-1006 | 2006-07-10 |
| 1285267666 | Catherine Doyle | Pharmacist | 6011 Groveport Rd, Groveport, OH 43125-1006 | 2020-02-13 |
| 1164914883 | Shannon Colleen Chagat | Nurse Practitioner | 6011 Groveport Rd, Groveport, OH 43125-1006 | 2018-05-30 |
| Find all providers in zip 43125 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912356726 | Ordinary24, LLC | Physiological Laboratory | 4301 Darrow Rd, Suite 4400a, Stow, OH 44224-2694 | 2016-06-13 |
| 1508239161 | Mccullough Hyde Memorial Hospital Inc | Physiological Laboratory | 79 W Central Ave Ste 2, Camden, OH 45311-1007 | 2015-11-04 |
| 1689077125 | Self-employed | Physiological Laboratory | 95b Barley Dr, Painesville, OH 44077-5349 | 2014-09-29 |
| 1689000580 | American Mobile X-ray, LLC | Physiological Laboratory | 6802 Menz Ln, Cincinnati, OH 45233-4311 | 2013-09-24 |
| 1669731865 | Zin Medical Inc | Physiological Laboratory | 10000 Cedar Ave, Suite 2-131 Mail Stop #17, Cleveland, OH 44106-2103 | 2012-05-08 |
| 1013140524 | The Cos Companies | Physiological Laboratory | 820 S North St, Washington Court House, OH 43160-2262 | 2009-08-31 |
| 1285808071 | Specialized Pulse Oximetry Testing Service, LLC | Physiological Laboratory | 1436 Yankee Park Pl # K, Dayton, OH 45458-1899 | 2008-04-14 |
| 1831303551 | Trendy Oximetry Ltd | Physiological Laboratory | 6048l W Central Ave, Toledo, OH 43615-1872 | 2007-05-10 |
| 1063539062 | Neumed | Physiological Laboratory | 9906 Norwalk Rd, Litchfield, OH 44253-9502 | 2007-03-23 |
| 1013004936 | Regional Mri of Toledo, Inc. | Physiological Laboratory | 6060 Renaissance Pl, Toledo, OH 43623-4724 | 2006-10-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.