| Id Med Inc. | |
|
2970 W Broad St Columbus OH 43204-2651 | |
| (614) 279-0808 | |
| (614) 279-6111 |
| Full Name | Id Med Inc. |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 2970 W Broad St, Columbus, Ohio |
| Authorized Official Name and Position | Mark T Herbert (PRESIDENT) |
| Authorized Official Contact | 6142790808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Id Med Inc. 2970 W Broad St Columbus OH 43204-2651 Ph: (614) 279-0808 | Id Med Inc. 2970 W Broad St Columbus OH 43204-2651 Ph: (614) 279-0808 |
| NPI Number | 1306986146 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 11/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306986146 | NPI | - | NPPES |
| 2466595 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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