WACCAMAW ULTRASOUND & DIAGNOSTICS (NPI# 1043593395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043593395 |
| Entity Type | Organization |
| Organization Name | WACCAMAW ULTRASOUND & DIAGNOSTICS |
| Other Organization Name | MEDICAL CENTER DIAGNOSTICS |
| Practice Address |
112 E White Oak St Lake Waccamaw NC 28450-2128 |
| Mailing Address |
1515 Medical Center Dr Wilmington NC 28401-7507 |
| Practice Telephone | 9106429085 |
| Mailing Telephone | 9106429085 |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2011-09-22 |
| Authorized Official Name | ANTHONY GRIGSBY (PRESIDENT) |
| Authorized Official Telephone | 9106429085 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 890129L | 05 |
| Other Name | Type Code |
|---|---|
| Medical Center Diagnostics | Doing Business As Name - Organization |
| Street Address |
112 E WHITE OAK ST |
| City | LAKE WACCAMAW |
| State | NC |
| Zip Code | 28450-2128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013218312 | Egb Enterjprises | Pharmacy | 108 E Hwy 7476, Lake Waccamaw, NC 28450 | 2010-11-03 |
| 1609996446 | Etcare Home Quality Management, Inc | Assisted Living Facility | 206 Wannish Ave, Lake Waccamaw, NC 28450 | 2007-03-29 |
| 1366593170 | Eugene Glenn Brown Jr. | Pharmacist | 108 E. Highway 74-76, Lake Waccamaw, NC 28450 | 2007-01-16 |
| 1073890489 | Lake Waccamaw Fire & Rescue Squad | Ambulance | 203 Flemington Dr., Lake Waccamaw, NC 28450-0000 | 2011-11-14 |
| 1669555603 | Egb Enterprises Inc | Durable Medical Equipment & Medical Supplies | 108 Old E Hwy 74/76, Lake Waccamaw, NC 28450-0148 | 2006-10-23 |
| 1720085293 | Premier Living and Rehab Center | Skilled Nursing Facility | 106 Cameron St, Lake Waccamaw, NC 28450-1900 | 2005-06-30 |
| 1649731407 | Kailynn Harrison | Nurse Practitioner | 106 Cameron St, Lake Waccamaw, NC 28450-1900 | 2019-03-26 |
| 1144656414 | Hannah M Fisher | Physical Therapist | 106 Cameron St, Lake Waccamaw, NC 28450-1900 | 2013-09-18 |
| 1477795821 | Lake Waccamaw Primary Care, Pllc | Family Medicine | 107 Church St, Lake Waccamaw, NC 28450-1908 | 2009-04-01 |
| 1992019335 | Haven Ministries, Inc. | Psychiatry & Neurology | 107 Church St, Lake Waccamaw, NC 28450-1909 | 2010-07-27 |
| Find all providers in zip 28450 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306344577 | Union Medical Services, LLC | Clinic/Center | 103 Stanly Pkwy Ste E, Locust, NC 28097-7711 | 2018-01-23 |
| 1417298134 | Columbus Regional Diagnostics | Clinic/Center | 619 Jefferson St., Ste. 2, Whiteville, NC 28472-3707 | 2013-03-05 |
| 1912192006 | Advanced Imaging, Inc. | Clinic/Center | 406 Thompson St, Eden, NC 27288-5044 | 2007-09-11 |
| 1124123104 | Sonography Services Inc | Clinic/Center | 125 Wamsutta Mill Rd, Suite B, Morganton, NC 28655-5522 | 2006-09-14 |
| 1164527149 | Sonocare, LLC | Clinic/Center | 125 B Wamsutta Mill Rd., Morganton, NC 28655 | 2006-09-14 |
| 1447290010 | Coastal Carolina Health Care Pa | Clinic/Center | 1030 Medical Park Ave, New Bern, NC 28562-5248 | 2006-06-08 |
| 1588611677 | Sunset Imaging, LLC | Clinic/Center | 850 Sunset Blvd N, Sunset Beach, NC 28468-4262 | 2006-05-27 |
| 1740231984 | Foundation Health Systems Corp | Clinic/Center | 1701 S Hawthorne Rd, Winston-salem, NC 27103-4015 | 2006-05-12 |
| 1881239093 | Southeast Radiology Associates Pllc | Clinic/Center | 10926 David Taylor Dr Ste 120, Charlotte, NC 28262-1042 | 2019-11-12 |
| 1669834131 | Chatham Imaging Services of Pittsboro, LLC | Clinic/Center | 75 Freedom Parkway, Pittsboro, NC 27312 | 2016-03-24 |
| Find all providers with the same taxonomy | ||||
| City | LAKE WACCAMAW |
| Zip Code | 28450 |
Please comment or provide details below to improve the information on WACCAMAW ULTRASOUND & DIAGNOSTICS.
| 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.