SOUTH CAROLINA DIAGNOSTIC IMAGING LLC NPI 1275591448

NPI Information

NPI: 1275591448
Provider Name: SOUTH CAROLINA DIAGNOSTIC IMAGING, LLC

Doing Business As: WEST ASHLEY DIAGNOSTIC IMAGING

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1975 H MAGWOOD DRIVE
CHARLESTON, SC
ZIP 29414
Phone: (770) 300-0101
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SOUTH CAROLINA DIAGNOSTIC IMAGING, LLC is a diagnostic radiology radiology in Charleston, SC. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SOUTH CAROLINA DIAGNOSTIC IMAGING, LLC NPI is 1275591448. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As West Ashley Diagnostic Imaging.

The provider's business location address is:

1975 H MAGWOOD DRIVE
CHARLESTON, SC
ZIP 29414-724
Phone: (770) 300-0101
Fax: (770) 300-0429

The provider's authorized official is Geoffrey K. Gardner .
The authorized official title is Svp Finance And Revenue Cycle and has the following contact phone number (336) 718-2078.

The CLIA number assigned to this NPI record is 42D2226523 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2006 and was last updated on 3/19/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology		SOUTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	470001385	OTHER	SOUTH CAROLINA	RAILROAD MEDICARE

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: 5/5/2024

NPI Synchronization or Removal

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