Carolina Forest Imaging Center Llc
LBN: Carolina Forest Imaging Center Llc
Carolina Forest Imaging Center Llc is an health care organization with primary practice located at 199 Village Center Blvd Suite 110, Myrtle Beach SC 29579. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI), Ambulatory Health Care Facilities / Radiology, Ambulatory Health Care Facilities / Radiology, Mammography. Ambulatory Health Care Facilities / Radiology is the primary health care specialty.
Carolina Forest Imaging Center Llc can be contacted via phone (843) 236-7878, or through Hardin, Lavelle R via phone (615) 344-8203.
Contact Information
Primary practice address
199 Village Center Blvd Suite 110
Myrtle Beach SC 29579
Phone: (843) 236-7878
Fax: (843) 236-6406
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) | 261QM1200X | ||
| Ambulatory Health Care Facilities / Radiology | 261QR0200X | ||
| Ambulatory Health Care Facilities / Radiology, Mammography | 261QR0206X |
Profile Details
| NPI number | 1063603587 |
|---|---|
| LBN Legal business name | Carolina Forest Imaging Center Llc |
| DBA Doing business as | |
| Authorized official | Hardin, Lavelle R |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 8th, 2007 |
| Last updated | Nov 30th, 2007 - about 19 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063603587 | NPPES |
| South Carolina | MEDICAID | GP4758 |
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