SOUTH CAROLINA MOBILE IMAGING (NPI# 1841661014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841661014 |
| Entity Type | Organization |
| Organization Name | SOUTH CAROLINA MOBILE IMAGING |
| Practice Address |
13 Red Squirrel Ln Pawleys Island SC 29585-5239 |
| Practice Telephone | 7179910055 |
| Mailing Telephone | 7179910055 |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2015-11-05 |
| Authorized Official Name | MR. RYAN EDWARD EVERHART (OWNER) |
| Authorized Official Telephone | 7179910055 |
| 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 | SC | Suppliers |
| Street Address |
13 RED SQUIRREL LN |
| City | PAWLEYS ISLAND |
| State | SC |
| Zip Code | 29585-5239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790303923 | Susan Kraus | Counselor | 1032 Algonquin Dr., 963-h, Pawleys Island, SC 29585 | 2020-07-14 |
| 1831737436 | Mary Ruth Blair | Counselor | 10689 Ocean Highway, Pawleys Island, SC 29585 | 2019-12-13 |
| 1518437110 | David Patrick Hanley | Home Health | 10698 Ocean Highway, Suite 100, Pawleys Island, SC 29585 | 2018-11-27 |
| 1154860369 | Danielle Olivia Woodley | Nurse Practitioner | 201 Business Center Dr., Pawleys Island, SC 29585 | 2017-02-21 |
| 1992241145 | Nichole Marie Evans | Nurse Practitioner | 10317 Ocean Highway 17 South, Pawleys Island, SC 29585 | 2017-01-11 |
| 1922559152 | Camri K Monaghan | Occupational Therapist | 120 Lakes of Litchfield Dr., Pawleys Island, SC 29585 | 2016-10-24 |
| 1245785666 | Hannah Rebecca Willis Rustin | Dentist | 34 Business Center Dr, Pawleys Island, SC 29585 | 2016-08-16 |
| 1750700894 | Veronica Seitzinger | Social Worker | 49 Pond View Dr, Pawleys Island, SC 29585 | 2014-04-15 |
| 1578813341 | Anne Marie Floyd | Physical Therapist | 120 Lakes At Litchfield Drive, Pawley's Island, SC 29585 | 2012-09-19 |
| 1356612170 | Jean C. Cross | Social Worker | Alston Rd, Pawleys Island, SC 29585 | 2012-01-25 |
| Find all providers in zip 29585 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1790731156 | Winyah Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 21d Professional Dr, Pawleys Island, SC 29585 | 2006-05-26 |
| 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 |
| 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 |
| 1003975343 | Mobile Tech, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 111 Harbor Drive, Columbia, SC 29229 | 2006-12-06 |
| 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 |
| 1063499952 | Mobile Radiology & Ekg of Carolina, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3575 Rutherford Road Ext, Suite D, Taylors, SC 29687-2168 | 2005-12-30 |
| 1801307988 | Cameron Mitchell | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2607 Woodruff Rd, Simpsonville, SC 29681-4803 | 2017-10-17 |
| 1952750523 | Schryver Medical Sales and Marketing, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 331 E Main St, Suite 200, Rock Hill, SC 29730-5383 | 2016-06-06 |
| Find all providers with the same taxonomy | ||||
| City | PAWLEYS ISLAND |
| Zip Code | 29585 |
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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.