SHORELINE IMAGING CENTER (NPI# 1376008052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376008052 |
| Entity Type | Organization |
| Organization Name | SHORELINE IMAGING CENTER |
| Practice Address |
9261 Highway 707 Ste F Myrtle Beach SC 29588-7822 |
| Practice Telephone | 8432515983 |
| Practice Fax Number | 8434084636 |
| Mailing Telephone | 8432515983 |
| Mailing Fax Number | 8434084636 |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-04-29 |
| Authorized Official Name | TIFFANY SCHUMAL (OWNER/ADMINISTRATOR) |
| Authorized Official Telephone | 8432515983 |
| Authorized Official Credential | R.T.(S)(VS)(ARRT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2471V0105X |
Radiologic Technologist Specialization: Vascular Sonography |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
9261 HIGHWAY 707 STE F |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29588-7822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740819309 | Forrest Halsey Westley | Pharmacist | 3072 Dick Pond Rd. Suite 2, Myrtle Beach, SC 29588 | 2020-04-06 |
| 1588124176 | The Counseling Center of Sayebrook | Counselor | 106 Lansford Court Suite 202, Myrtle Beach, SC 29588 | 2019-03-21 |
| 1134631443 | Solid Foundations, LLC | Clinic/Center | 4325 Dick Pond Road, Suite E, Myrtle Beach, SC 29588 | 2017-10-26 |
| 1316496037 | Grand Strand Rehab and Nursing Center, LLC | Skilled Nursing Facility | 4452 Socastee Boulevard, Myrtle Beach, SC 29588 | 2016-09-22 |
| 1386092039 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 1370 South Commons Drive, Suite 102, Myrtle Beach, SC 29588 | 2016-06-02 |
| 1114314531 | Allison Smith | Physical Therapy Assistant | 4870 Socastee Blvd, Myrtle Beach, SC 29588 | 2015-04-23 |
| 1760806160 | Myrtle Beach Physical Medicine & Rehab, LLC | Family Medicine | 4736 17 Bypass South, Myrtle Beach, SC 29588 | 2014-02-06 |
| 1801228499 | Robin Ruth Gause | Lactation Consultant, Non-RN | 510 Fairwood Lakes Ave, 14-c, Myrtle Beach, SC 29588 | 2013-08-06 |
| 1124386438 | Horace Earl Ferguson Jr. | Technician/Technologist | 4535 Dick Pond Road, A, Myrtle Beach, SC 29588 | 2012-04-25 |
| 1831463652 | Medeyecare, LLC | Technician/Technologist | 4335 Socastee Blvd, Unit A, Myrtle Beach, SC 29588 | 2012-02-24 |
| Find all providers in zip 29588 | ||||
| Taxonomy Code | 2471S1302X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316316052 | Christopher Newman I | Radiologic Technologist | 412 Shadow Creek Ct, Myrtle Beach, SC 29588-6585 | 2015-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760779011 | Kelly Ultrasound Center LLC | Radiologic Technologist | 140 Milestone Way, Ste. B, Greenville, SC 29615-5065 | 2011-07-07 |
| 1033400759 | Kelly Imaging Group, LLC | Radiologic Technologist | 112 Cosgrove Ln, Taylors, SC 29687-4106 | 2011-04-28 |
| 1992835532 | Dorian S Knight | Radiologic Technologist | 500 Pamplico Highway, Suite G, Florence, SC 29505 | 2007-03-06 |
| 1487652442 | Advanced Diagnostics, Inc. | Radiologic Technologist | 115 Blarney Dr Ste 101, Columbia, SC 29223-6291 | 2005-07-13 |
| 1295091817 | David Joel Hawa | Radiologic Technologist | 1608 N. Main St., Conway, SC 29526 | 2012-04-09 |
| 1659536100 | Sonoscreening, Inc | Radiologic Technologist | 5 Bontwell Cir, Bluffton, SC 29910-6538 | 2008-07-24 |
| City | MYRTLE BEACH |
| Zip Code | 29588 |
Please comment or provide details below to improve the information on SHORELINE IMAGING CENTER.
| 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.