TIDELANDS AND MEDQUEST JOINT VENTURE LLC NPI 1083275366

NPI Details

TIDELANDS AND MEDQUEST JOINT VENTURE, LLC is a physiological laboratory in Myrtle Beach, SC. The provider is a laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. TIDELANDS AND MEDQUEST JOINT VENTURE, LLC NPI is 1083275366. The provider is registered as an organization entity type.
The provider Is Doing Business As Tidelands Health Imaging.

The provider's business location address is:

900 21ST AVE N
MYRTLE BEACH, SC
ZIP 29577-483
Phone: (843) 916-1700
Fax: (843) 916-9460

The provider's authorized official is Elizabeth S Ward .
The authorized official title is Evp & Cfo and has the following contact phone number (843) 527-7102.

The CLIA number assigned to this NPI record is 42D2157911 - hospice with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Mri scan of lower spinal canal without contrast (HCPCS:72148)
• Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
• Injection, gadobenate dimeglumine (multihance), per ml (HCPCS:A9577)
• X-ray lower and sacral spine, minimum of 6 views (HCPCS:72114)
• Mri scan of upper spinal canal without contrast (HCPCS:72141)
• Ct scan of chest without contrast (HCPCS:71250)
• Mri scan of brain before and after contrast (HCPCS:70553)
• Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
• Ct scan of chest with contrast (HCPCS:71260)
• Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries (HCPCS:A9552)
• Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
• Mri scan of middle spinal canal without contrast (HCPCS:72146)
• Ultrasound scan of head and neck soft tissue (HCPCS:76536)
• Mri scan of lower spinal canal before and after contrast (HCPCS:72158)
• X-ray of chest, 2 views (HCPCS:71046)
• Ct scan of lower spine without contrast (HCPCS:72131)
• Mri scan of brain without contrast (HCPCS:70551)
• Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
• Mri scan of leg joint without contrast (HCPCS:73721)
• X-ray of hip, 2-3 views (HCPCS:73502)
• X-ray of upper spine, 4-5 views (HCPCS:72050)
• X-ray of middle spine, 2 views (HCPCS:72070)
• Ct scan head or brain without contrast (HCPCS:70450)
• Ct scan of soft tissue of neck with contrast (HCPCS:70491)
• X-ray of upper spine, 6 or more views (HCPCS:72052)
• Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
• Complete ultrasound scan of abdomen (HCPCS:76700)
• Ct scan of face without contrast (HCPCS:70486)
• Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
• Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
• Mri scan of arm joint without contrast (HCPCS:73221)
• Ct scan of blood vessels of chest with contrast (HCPCS:71275)
• Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
• Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
• Mri scan of leg without contrast (HCPCS:73718)
• X-ray of knee, 3 views (HCPCS:73562)
• X-ray of shoulder, minimum of 2 views (HCPCS:73030)
• Ct scan of upper spine without contrast (HCPCS:72125)
• X-ray of foot, minimum of 3 views (HCPCS:73630)
• X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
• Limited ultrasound scan of abdomen (HCPCS:76705)
• Mri scan of upper spinal canal before and after contrast (HCPCS:72156)
• Ct scan of abdomen with contrast (HCPCS:74160)
• Ct scan of leg without contrast (HCPCS:73700)
• X-ray of both hips, 2 views (HCPCS:73521)
• Ct scan of arm without contrast (HCPCS:73200)
• Mri scan of middle spinal canal before and after contrast (HCPCS:72157)
• Ct scan of blood vessels of neck with contrast (HCPCS:70498)
• Complete ultrasound scan of pelvis (HCPCS:76856)

The enumeration date for this NPI number is 6/26/2019 and was last updated on 9/11/2019.

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: