IMAGING CENTER AT BAXTER VILLAGE L.L.C. NPI 1013170109

NPI Information

IMAGING CENTER AT BAXTER VILLAGE, L.L.C. is a magnetic resonance imaging (mri) clinic center in Fort Mill, SC. IMAGING CENTER AT BAXTER VILLAGE, L.L.C. NPI is 1013170109. The provider is registered as an organization entity type.
The provider Is Doing Business As The Imaging Center At Baxter Village.

The provider's business location address is:

509 6TH BAXTER CROSSING
FORT MILL, SC
ZIP 29708
Phone: (803) 329-6829

The provider's authorized official is Michael Kyle Burtnett .
The authorized official title is Svp Of Outpatient Services, Tenet and has the following contact phone number (469) 893-2153.

The CLIA number assigned to this NPI record is 42D2018987 - other - diagnostic imaging center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/8/2008 and was last updated on 7/28/2016.

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:

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