SMALL WONDERS IMAGING, LLC (NPI# 1568536050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568536050 |
| Entity Type | Organization |
| Organization Name | SMALL WONDERS IMAGING, LLC |
| Practice Address |
308 S Pine St Summerville SC 29483-6048 |
| Practice Telephone | 8438176345 |
| Mailing Telephone | 8438176345 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | HOLLY RACQUEL POE (MANAGING PARTNER) |
| Authorized Official Telephone | 8438176345 |
| Authorized Official Credential | ARDMS, RVT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471V0105X |
Radiologic Technologist Specialization: Vascular Sonography |
79275 | SC | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
308 S PINE ST |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29483-6048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764347 | Catherine M Bixler | Counselor | 314 W 4th St N, Summerville, SC 29483 | 2020-09-09 |
| 1255979431 | Jeanette Louise Virden | Counselor | 200 E 5th North Street, Summerville, SC 29483 | 2019-12-18 |
| 1912477415 | Kaylee Lobo | Nurse Practitioner | 203 Pavilion Street, Summerville, SC 29483 | 2018-11-28 |
| 1962981142 | Jackson Pediatric Dentistry of Summerville | Dentist | 405 West 4th Street North, Summerville, SC 29483 | 2018-08-09 |
| 1558885483 | Allied Medical Respiratory | Durable Medical Equipment & Medical Supplies | 200 W 5th North Street, Summerville, SC 29483 | 2017-08-02 |
| 1336671296 | Natalie M Clark | Specialist/Technologist | 102 Green Wave Boulevard, Dorchester School District Two, Summerville, SC 29483 | 2017-03-30 |
| 1649701897 | Usv Optical Inc. | Technician/Technologist | 1035 Jockey Ct., Summerville, SC 29483 | 2017-03-21 |
| 1497113617 | Roper Saint Francis Physicians Network | Surgery | 1112 N Main St Ste C, Summerville, SC 29483 | 2016-02-02 |
| 1083000798 | Andrea Sartori | Clinical Neuropsychologist | 107 W 5th North St Ste 102, Summerville, SC 29483 | 2015-04-09 |
| 1376931626 | Wendy Davis-jones | Home Health Aide | 203 Lakepointe Ave, Summerville, SC 29483 | 2015-01-08 |
| Find all providers in zip 29483 | ||||
| Taxonomy Code | 2471V0105X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Vascular Sonography |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376008052 | Shoreline Imaging Center | Radiologic Technologist | 9261 Highway 707 Ste F, Myrtle Beach, SC 29588-7822 | 2019-02-06 |
| 1013944206 | Palmetto Vascular Diagnostic LLC | Radiologic Technologist | 2020 Mcqueen Blvd, Orangeburg, SC 29118-1200 | 2006-06-26 |
| 1841531928 | Pope Diagnostics, LLC | Radiologic Technologist | 101 Rice Bent Way, Suite 12, Columbia, SC 29229-6849 | 2013-03-14 |
| City | SUMMERVILLE |
| Zip Code | 29483 |
Please comment or provide details below to improve the information on SMALL WONDERS IMAGING, LLC.
| 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.