CAROLINA FOREST IMAGING CENTER LLC (NPI# 1063603587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063603587 |
| Entity Type | Organization |
| Organization Name | CAROLINA FOREST IMAGING CENTER LLC |
| Practice Address |
199 Village Center Blvd Suite 110 Myrtle Beach SC 29579 |
| Practice Telephone | 8432367878 |
| Practice Fax Number | 8432366406 |
| Mailing Telephone | 8432367878 |
| Mailing Fax Number | 8432366406 |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2007-11-30 |
| Authorized Official Name | MR. LAVELLE R HARDIN (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 6153448203 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities | ||
| N | 261QR0206X |
Clinic/Center Specialization: Radiology, Mammography |
Ambulatory Health Care Facilities | ||
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP4758 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942491303 | Carolina Forest Imaging Center LLC | Radiology | 199 Village Center Blvd, Suite 110, Myrtle Beach, SC 29579 | 2007-08-09 |
| Street Address |
199 VILLAGE CENTER BLVD SUITE 110 |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346645306 | Atlantic Urology Clinic LLC | Surgery | 199 Village Center Blvd, Suite 100, Myrtle Beach, SC 29579-3589 | 2014-11-03 |
| 1881018596 | Atlantic Urology Clinics LLC | Obstetrics & Gynecology | 199 Village Center Blvd, Suite 100, Myrtle Beach, SC 29579-3589 | 2014-02-17 |
| 1942491303 | Carolina Forest Imaging Center LLC | Radiology | 199 Village Center Blvd, Suite 110, Myrtle Beach, SC 29579 | 2007-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598323198 | P & E Company | Counselor | 4105 Carolina Commercial Dr. Unit #2, Myrtle Beach, SC 29579 | 2019-05-30 |
| 1528624632 | Matthew Meehan | Nurse Practitioner | 4016 River Oaks Dr # 6511, Myrtle Beach, SC 29579 | 2019-05-14 |
| 1427518265 | Brian Donovan Doherty | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center 809 82nd Parkway, Gme Office, Myrtle Beach, SC 29579 | 2019-03-20 |
| 1508347931 | South Carolina Cvs Pharmacy LLC | Pharmacy | 578 International Dr, Myrtle Beach, SC 29579 | 2018-08-23 |
| 1497256176 | Orthosc LLC | Orthopaedic Surgery | 185 Fresh Dr Ste B, Myrtle Beach, SC 29579 | 2018-02-27 |
| 1740708981 | Dental Professional of South Carolina, P.C. | Dentist | 568 International Dr, Myrtle Beach, SC 29579 | 2017-09-08 |
| 1093232480 | Johnathan T Steppe | Dentist | 568 International Drive, Myrtle Beach, SC 29579 | 2017-08-25 |
| 1346638483 | Little River Medical Center, Inc | Clinic/Center | 4220 Carolina Exchange Blvd, Myrtle Beach, SC 29579 | 2014-12-23 |
| 1154726818 | Mina Gaid | Pharmacist | 1303 38th Avenue North, Myrtle Beach, SC 29579 | 2014-10-23 |
| 1528471364 | Paola Goyeneche | Counselor | 5015 Carolina Forest Blvd, Myrtle Beach, SC 29579 | 2014-06-10 |
| Find all providers in zip 29579 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083275366 | Tidelands and Medquest Joint Venture, LLC | Clinic/Center | 900 21st Ave N, Myrtle Beach, SC 29577-7483 | 2019-06-26 |
| 1184740680 | Inmed Diagnostics Services of Sc LLC | Clinic/Center | 4701 Oleander Dr, Ste C, Myrtle Beach, SC 29577-5762 | 2007-03-22 |
| 1033178934 | Strand Regional Specialty | Clinic/Center | 8170 Rourk St, Myrtle Beach, SC 29572-4127 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568981843 | Medical Imaging Express | Clinic/Center | 361 Woodruff Rd, Greenville, SC 29607-3415 | 2017-09-18 |
| 1124370713 | Jacquette Caldwell Md Pa | Clinic/Center | 28 Wildeoak Ct, Columbia, SC 29223-3292 | 2012-10-08 |
| 1912215427 | Southside Imaging Center LLC | Clinic/Center | 430 Society Hill Drive, Aiken, SC 29803 | 2010-09-17 |
| 1760799241 | United Rehab Inc | Clinic/Center | 213 Tanglewood Ct, Ridgeway, SC 29130-7100 | 2010-09-07 |
| 1225291206 | Manning Diagnostics LLC | Clinic/Center | 202 E Hospital St, Manning, SC 29102-3160 | 2008-07-09 |
| 1013170109 | Imaging Center At Baxter Village, L.L.C. | Clinic/Center | 509 6th Baxter Crossing, Fort Mill, SC 29708 | 2008-07-08 |
| 1073772737 | Orangeburg Cardiac Imaging Center | Clinic/Center | 1892 Saint Matthews Rd, Orangeburg, SC 29118-2404 | 2008-06-06 |
| 1861671711 | Southern Mri | Clinic/Center | 49 Pennington Dr Ste B, Bluffton, SC 29910-9014 | 2007-10-29 |
| 1679699144 | Inmed Diagnostics Services of Sc LLC | Clinic/Center | 1704 E Main St, Duncan, SC 29334-9708 | 2007-03-22 |
| 1821114315 | Inmed Diagnostics Services of Sc LLC | Clinic/Center | 1120 W Evans St, Florence, SC 29501-3320 | 2007-03-22 |
| Find all providers with the same taxonomy | ||||
| City | MYRTLE BEACH |
| Zip Code | 29579 |
Please comment or provide details below to improve the information on CAROLINA FOREST IMAGING CENTER 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.