King's Medical Imaging at Watermark LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

License

NA

Legal business name

KING'S MEDICAL IMAGING AT WATERMARK LLC

Doing business as

King's Medical Imaging at Westerville

Practice address

484 County Line Rd W
Suite 130
Westerville, OH 43082-7080

Phone

(614) 899-2142

Fax

(614) 899-2468

NPI assigned

Mar 1, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. William E. Beattie

Title

Coo

Phone

(330) 653-3968

Specialties & licenses 1

Addresses

Other names 1

• King's Medical Imaging at Westerville Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194853960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 COUNTY LINE RD W",
            "address_2": "SUITE 130",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827080",
            "telephone_number": "614-899-2142",
            "fax_number": "614-899-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 COUNTY LINE RD W",
            "address_2": "SUITE 130",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827080",
            "telephone_number": "614-899-2142",
            "fax_number": "614-899-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING'S MEDICAL IMAGING AT WATERMARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEATTIE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "330-653-3968",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "King's Medical Imaging at Westerville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Nichole King, M.S., CCC-SLP
• Linzee R King, BA
• Lynn King, MACPC, LPCC-S
• Madison King
• Tiffani Dawn King, RBT
• J.Kevin Kington, MD
• Tamera Kinkead
• Maggie Alexandra Kinnear, ATC
• Kara R Kirkendall, BA
• Maria Kirschner, RBT

• Physiological Laboratory in Westerville, OH
• Providers in Westerville, OH by specialty
• Physiological Laboratory in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.