Organization Active NPI

Capital Imaging,LTD

  • Specialist
  • Columbus, OH
National Provider Identifier
1427033745
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CAPITAL IMAGING,LTD
Practice address
3132 Olentangy River Rd
Columbus, OH 43202-1517
Phone
(614) 784-8522
Fax
(614) 784-8566
NPI assigned
Dec 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Charles Clark
Title
Owner/Investor
Phone
(614) 595-8867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X OH Primary

Addresses

Primary practice location

3132 Olentangy River Rd
Columbus, OH 43202-1517

Mailing address

3132 Olentangy River Rd
Columbus, OH 43202-1517
Phone (614) 784-8522

Other identifiers 1

IdentifierTypeStateIssuer
2317077MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1427033745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3132 OLENTANGY RIVER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021517",
            "telephone_number": "614-784-8522",
            "fax_number": "614-784-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3132 OLENTANGY RIVER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021517",
            "telephone_number": "614-784-8522",
            "fax_number": "614-784-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL IMAGING,LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER/INVESTOR",
        "authorized_official_telephone_number": "614-595-8867"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2317077",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.