MOBILE RADIOLOGY & EKG OF CAROLINA, INC. (NPI# 1063499952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063499952 |
Entity Type | Organization |
Organization Name | MOBILE RADIOLOGY & EKG OF CAROLINA, INC. |
Other Organization Name | RADS MOBILE X-RAY OR RADS MOBILE X-RAY & DIGITAL IMAGING |
Practice Address |
3575 Rutherford Road Ext Suite D Taylors SC 29687-2168 |
Mailing Address |
Po Box 17488 Clearwater FL 33762-0488 |
Practice Telephone | 8642680013 |
Practice Fax Number | 8642680590 |
Mailing Telephone | 7274430389 |
Mailing Fax Number | 7274427851 |
Enumeration Date | 2005-12-30 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. RANDALL W CARTWRIGHT (PRESIDENT/CEO) |
Authorized Official Telephone | 7274430389 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
Other Name | Type Code |
---|---|
RADS Mobile X-ray or RADS Mobile X-ray & Digital Imaging | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043297088 | Mobile Radiology & Ekg of Carolina, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1310 Haviland Cir, Columbia, SC 29210-4030 | 2005-12-30 |
1427035369 | Mobile Radiology & Ekg of Carolina, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3850 Washington Rd, Suite 2d, Martinez, GA 30907-5024 | 2005-12-30 |
1295712149 | Mobile Radiology & Ekg of Carolina, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 512 Montgomery Hwy, Suite 200, Birmingham, AL 35216-1843 | 2005-12-30 |
Street Address |
3575 RUTHERFORD ROAD EXT SUITE D |
City | TAYLORS |
State | SC |
Zip Code | 29687-2168 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467070862 | Allison Brooke Leach | Registered Nurse | 505 Dewy Meadows Drive, Taylors, SC 29687 | 2020-07-12 |
1437500832 | Andrew Hunter Denardo | Dentist | 2801 Wade Hampton Blvd Ste 118, Taylors, SC 29687 | 2016-06-27 |
1629163951 | Patricia Sue Rowe | Chiropractor | 3575 Rutherford Rd Ext Suite C, Taylors, SC 29687 | 2006-10-03 |
1265547889 | Diabetic Services Inc | Durable Medical Equipment & Medical Supplies | 202 Bendingwood Circle, Taylors, SC 29687 | 2006-08-21 |
1336608033 | Taylors Free Medical Clinic, Inc. | Clinic/Center | 400 West Main Street, Taylors, SC 29687 | 2019-03-13 |
1528544368 | Allison F Doot | Pharmacist | 3300 Wade Hampton Blvd, Taylors, SC 29687 | 2018-07-16 |
1518330323 | Kelsey Mariah Matthews | Physician Assistant | 3551a Rutherford Rd, Taylors, SC 29687 | 2015-11-03 |
1619378478 | Justin Jennings | Pharmacist | 3027 Wade Hampton Blvd, Taylors, SC 29687 | 2014-09-11 |
1770839219 | Emily Gilstrap Colao | Dentist | 2801 Wade Hampton Blvd, Suite 118, Taylors, SC 29687 | 2012-08-02 |
1730479288 | Christopher Lee Howlett | Dentist | 2 E Lee Rd, Taylors, SC 29687 | 2011-04-17 |
Find all providers in zip 29687 |
Taxonomy Code | 335V00000X |
Grouping | Suppliers |
Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225681562 | Pdi Health Sc LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 170 Meeting St Ste 110, Charleston, SC 29401-3178 | 2019-07-16 |
1154832244 | Clearpath Medical | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2607 Woodruff Rd Ste E-525, Simpsonville, SC 29681-4803 | 2017-10-17 |
1841661014 | South Carolina Mobile Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 13 Red Squirrel Ln, Pawleys Island, SC 29585-5239 | 2015-10-14 |
1992141717 | Shoreline Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 910 Gypsy Ln, Mc Clellanville, SC 29458-9733 | 2013-05-20 |
1578818704 | Cardio Vascular Imagery LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 118 Sherborne Dr, Spartanburg, SC 29307-2941 | 2012-07-13 |
1245590140 | Source Diagnostics of South Carolina, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2701 S Ocean Blvd, Unit 1831, North Myrtle Beach, SC 29582-4641 | 2012-05-24 |
1689842932 | Winyah Ancillaries, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 21-d Professional Lane, Pawleys Island, SC 29585 | 2008-02-20 |
1003975343 | Mobile Tech, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 111 Harbor Drive, Columbia, SC 29229 | 2006-12-06 |
1790731156 | Winyah Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 21d Professional Dr, Pawleys Island, SC 29585 | 2006-05-26 |
1043297088 | Mobile Radiology & Ekg of Carolina, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1310 Haviland Cir, Columbia, SC 29210-4030 | 2005-12-30 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.