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 Groveport

Practice address

5339 Hendron Rd
Groveport, OH 43125-1055

Phone

(614) 835-0358

Fax

(614) 835-0712

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) 653-3689

Specialties & licenses 1

Addresses

Other names 1

• King's Medical Imaging at Groveport Doing business as

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": "1316075179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5339 HENDRON RD",
            "city": "GROVEPORT",
            "state": "OH",
            "postal_code": "431251055",
            "telephone_number": "614-835-0358",
            "fax_number": "614-835-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5339 HENDRON RD",
            "city": "GROVEPORT",
            "state": "OH",
            "postal_code": "431251055",
            "telephone_number": "614-835-0358",
            "fax_number": "614-835-0712"
        }
    ],
    "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": "330-653-3689",
        "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 Groveport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Case Kegley
• Kayla Kerr, M.A. CCC-SLP
• Kimberly N Stuckey Eye Care LLC
• Kimberly N Stuckey Eyecare LLC
• Dominique King
• James Ira Kirk, LSW
• Jenna Kirk, SP
• Jordan Koegle, LISW
• Alice M Koli, LPN
• Meghann Lamb, PT, DPT

• Physiological Laboratory in Groveport, OH
• Providers in Groveport, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.