PELICAN II LLC NPI 1871681445

NPI Information

  • NPI: 1871681445
  • Provider Name: PELICAN II, LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Doing Business As: IMAGING SPECIALISTS OF CHARLESTON
  • Address: 1241 WOODLAND AVENUE
    MOUNT PLEASANT, SC
    ZIP 29464
  • Phone: (843) 824-0606

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NPI Details

PELICAN II, LLC is a diagnostic radiology radiology in Mount Pleasant, SC. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PELICAN II, LLC NPI is 1871681445. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Imaging Specialists Of Charleston.

The provider's business location address is:

1241 WOODLAND AVENUE
MOUNT PLEASANT, SC
ZIP 29464
Phone: (843) 824-0606
Fax: (843) 824-0909

The provider's authorized official is Laura Hudson .
The authorized official title is Credentialing Coordinator and has the following contact phone number (843) 654-7229.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 1/14/2014.

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
12085B0100XRadiologyBody ImagingNo
22085N0700XRadiologyNeuroradiologyNo
32085R0204XRadiologyVascular & Interventional RadiologyNo
42085U0001XRadiologyDiagnostic UltrasoundNo
52085R0202XRadiologyDiagnostic RadiologyYes

What is NPI?

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This page was last updated on: 3/30/2025

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