Provider Demographics
NPI:1992072763
Name:AIAM
Entity type:Organization
Organization Name:AIAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CISO
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:SATER-WEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-759-8497
Mailing Address - Street 1:6685 DOUBLETREE AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-1113
Mailing Address - Country:US
Mailing Address - Phone:614-825-6255
Mailing Address - Fax:614-825-6279
Practice Address - Street 1:6685 DOUBLETREE AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-1113
Practice Address - Country:US
Practice Address - Phone:614-825-6255
Practice Address - Fax:614-825-6279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-22
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH65.000099171100000X
OH65.000115171100000X
OH65.000131171100000X
OH65.000165171100000X
OH65.00002171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty