Provider Type Icon

LOWCOUNTRY MEDICAL ASSOCIATES NPI 1518916568


NPI Information

NPI: 1518916568
Provider Name: LOWCOUNTRY MEDICAL ASSOCIATES

Doing Business As: LMA DIAGNOSTIC IMAGING CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 42D2066364

Address:
615 WESLEY DR
STE 120
CHARLESTON, SC
ZIP 29407
Phone: (843) 266-0900
Get Directions

LOWCOUNTRY MEDICAL ASSOCIATES is a family medicine in Charleston, SC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LOWCOUNTRY MEDICAL ASSOCIATES NPI is 1518916568. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Lma Diagnostic Imaging Center.

The provider's business location address is:

615 WESLEY DR
STE 120
CHARLESTON, SC
ZIP 29407-204
Phone: (843) 266-0900
Fax: (843) 266-0901

The provider's authorized official is Linda C Shoemaker .
The authorized official title is Coo and has the following contact phone number (843) 937-8101.

The CLIA number assigned to this NPI record is 42D2066364 - ambulatory surgery center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/8/2006 and was last updated on 9/15/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineSOUTH CAROLINANo
2208000000XPediatricsSOUTH CAROLINANo
3207Q00000XFamily MedicineSOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CJ5622MEDICARE ID-TYPE UNSPECIFIEDSOUTH CAROLINARR MEDICARE GROUP IDENTIF
26795MEDICARE PINSOUTH CAROLINA
3GP2939MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.