Northland Diagnostic Imaging Center LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

1994228 Issued in OH

Legal business name

NORTHLAND DIAGNOSTIC IMAGING CENTER LLC

Practice address

1430 S High St
Columbus, OH 43207-1045

Phone

(614) 444-5340

Fax

(614) 444-5342

NPI assigned

Aug 6, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Ajay Syam, DC

Title

Owner

Phone

(614) 444-5340

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438819200000",
    "number": "1821474339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 S HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071045",
            "telephone_number": "614-444-5340",
            "fax_number": "614-444-5342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 S HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071045",
            "telephone_number": "614-444-5340",
            "fax_number": "614-444-5342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND DIAGNOSTIC IMAGING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-06",
        "last_updated": "2015-08-06",
        "status": "A",
        "authorized_official_last_name": "SYAM",
        "authorized_official_first_name": "AJAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-444-5340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "1994228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OHIO CERTIFICATE",
            "identifier": "1994228",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Radiology Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Diagnostic Radiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.