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CENTRAL OHIO PRIMARY CARE PHYSICIANS SPECIALTY SERVICES LLC
NPI 1104972330
Radiology - Diagnostic Radiology in Columbus, OH

Active since January 29, 2007CLIA Certified · 29 labs
4885 OLENTANGY RIVER RD, COLUMBUS, OH 43214(614) 451-9229(614) 451-0981 Get Directions Write a Review

NPPES record last updated: January 23, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Central Ohio Primary Care Physicians Specialty Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRAL OHIO PRIMARY CARE PHYSICIANS SPECIALTY SERVICES LLC (NPI 1104972330) is a healthcare organization registered as a diagnostic radiology in Columbus, Ohio and active in the NPI registry since January 2007. The organization holds 29 active CLIA laboratory certificates and lists John W Wulf, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1104972330
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameCENTRAL OHIO PRIMARY CARE PHYSICIANS SPECIALTY SERVICES LLC
Location Address4885 OLENTANGY RIVER RDColumbus, OH 43214-1926
Mailing Address570 Polaris Pkwy, Suite 250Westerville, OH 43082-7900 · (614) 326-2672 · Fax (614) 326-2685
Phone(614) 451-9229
Fax(614) 451-0981
Organization SubpartNo
Authorized OfficialJohn W WulfChief Executive Officer · (614) 865-8011
Enumeration DateJanuary 29, 2007
Last NPPES UpdateJanuary 23, 2014
✔ NPI 1104972330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X
Also ListedInternal Medicine · Magnetic Resonance Imaging (MRI)Taxonomy 207RM1200X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X
4885 OLENTANGY RIVER RD, Columbus, OH 43214
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 31

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2287191

Central Ohio Primary Care Physicians · Columbus, OH
Active · expires Aug 9, 2027
CLIA Number36D2287191
Laboratory TypePhysician Office
Certificate Effective DateAugust 10, 2025
Certificate Expiration DateAugust 9, 2027
Laboratory DirectorDerek Mcclellan
Laboratory Phone(614) 451-9229
Laboratory LocationCentral Ohio Primary Care Physicians4885 Olentangy River Road Suite 150, Columbus, OH 43214
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D2150555

Central Ohio Primary Care Physicians Inc · Columbus, OH
Active · expires Jun 26, 2028
CLIA Number36D2150555
Laboratory TypePhysician Office
Certificate Effective DateJune 27, 2026
Certificate Expiration DateJune 26, 2028
Laboratory DirectorHeather Battles
Laboratory Phone(614) 891-4705
Laboratory LocationCentral Ohio Primary Care Physicians Inc4885 Olentangy River Road Suite 1-10, Columbus, OH 43214
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D0887628

Central Ohio Primary Care Physicians Inc · Columbus, OH
Active · expires Jun 14, 2028
CLIA Number36D0887628
Laboratory TypePhysician Office
Certificate Effective DateJune 15, 2026
Certificate Expiration DateJune 14, 2028
Laboratory DirectorSeth A. Holtzapfel
Laboratory Phone(614) 451-1551
Laboratory LocationCentral Ohio Primary Care Physicians Inc4885 Olentangy River Rd Ste 2-50, Columbus, OH 43214
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D0679131

Central Ohio Primary Care Physicians Inc · Columbus, OH
Active · expires Apr 10, 2027
CLIA Number36D0679131
Laboratory TypePhysician Office
Certificate Effective DateApril 11, 2025
Certificate Expiration DateApril 10, 2027
Laboratory DirectorElizabeth L. Kirkland
Laboratory Phone(614) 267-7878
Laboratory LocationCentral Ohio Primary Care Physicians Inc4885 Olentangy River Rd Ste 2-10, Columbus, OH 43214
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D2028797

Central Ohio Primary Care Physicians Inc · Reynoldsburg, OH
Active · expires Aug 23, 2027
CLIA Number36D2028797
Laboratory TypePhysician Office
Certificate Effective DateAugust 24, 2025
Certificate Expiration DateAugust 23, 2027
Laboratory DirectorRandolph O. Schultz
Laboratory Phone(614) 865-8011
Laboratory LocationCentral Ohio Primary Care Physicians Inc8050 E Main Street Suite 2300, Reynoldsburg, OH 43068
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D1028271

Central Ohio Primary Care Physicians Inc · Westerville, OH
Active · expires Jul 20, 2028
CLIA Number36D1028271
Laboratory TypePhysician Office
Certificate Effective DateJuly 21, 2026
Certificate Expiration DateJuly 20, 2028
Laboratory DirectorHeather A. Battles
Laboratory Phone(614) 891-4705
Laboratory LocationCentral Ohio Primary Care Physicians Inc400 Altair Parkway Suite 4100, Westerville, OH 43082
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTH STAR VISION CENTER AT OLENTANGY, L.L.C.
Optometrist
4885 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Franklin County (614) 326-1830
DR. RONALD L SPEIDEL M.D.
Family Medicine
4885 OLENTANGY RIVER RD, SUITE 110
COLUMBUS, OH 43214
Franklin County (614) 268-6555
CATHY A GREIWE M.D.
Family Medicine
4885 OLENTANGY RIVER RD, SUITE 110
COLUMBUS, OH 43214
Franklin County (614) 268-6555
TRACEY L TRGOVAC M.D
Internal Medicine
4885 OLENTANGY RIVER RD, SUITE 110
COLUMBUS, OH 43214
Franklin County (614) 268-6555
MICHAEL J DELPHIA M.D.
Internal Medicine
4885 OLENTANGY RIVER RD, SUITE 2-50
COLUMBUS, OH 43214
Franklin County (614) 451-1551
RANNIE B AMIRI M.D.
Internal Medicine
4885 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Franklin County (614) 451-9229
WILLIAM S ROTHERMEL JR. MD
Surgery
4885 OLENTANGY RIVER RD, STE 230
COLUMBUS, OH 43214
Franklin County (614) 451-3388
MONIKA P JHAVERI M.D.
Internal Medicine
4885 OLENTANGY RIVER RD, SUITE 1-10
COLUMBUS, OH 43214
Franklin County (614) 268-6555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Central Ohio Primary Care Physicians Specialty Services LLC's NPI number?

The NPI number for Central Ohio Primary Care Physicians Specialty Services LLC is 1104972330. It was assigned to this organization in the NPPES registry on January 29, 2007.

Where is Central Ohio Primary Care Physicians Specialty Services LLC located?

Central Ohio Primary Care Physicians Specialty Services LLC is located at 4885 Olentangy River Rd, Columbus, OH 43214. The listed phone number is (614) 451-9229.

What is Central Ohio Primary Care Physicians Specialty Services LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Does Central Ohio Primary Care Physicians Specialty Services LLC hold CLIA laboratory certificates?

Yes. 29 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Central Ohio Primary Care Physicians Specialty Services LLC was last updated on January 23, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.