Carolinas Diagnostic Imaging LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

CAROLINAS DIAGNOSTIC IMAGING LLC

Practice address

175 Amendment Ave Ste 101
Rock Hill, SC 29732-3042

Phone

(803) 547-1100

Fax

(803) 547-1137

NPI assigned

May 4, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Daniel J Schaefer

Title

Coo

Phone

(770) 300-0101

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Novant Health Imaging Rock Hill Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Foundation Health Systems LLC

  • Physical Therapy Clinic/Center
  • Winston Salem, NC
  • NPI 1205894029

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles R Anthony, M.D.

  • Diagnostic Radiology Physician
  • Brooksville, FL
  • NPI 1609821958

  Diagnostic Radiology

  NPD (past)
• Eric Wayne McGraw, MD

  • Diagnostic Radiology Physician
  • Salem, VA
  • NPI 1093729105

  Diagnostic Radiology

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499644800000",
    "number": "1003864299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603543",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603543",
            "telephone_number": "678-393-5600",
            "fax_number": "770-300-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 AMENDMENT AVE STE 101",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323042",
            "telephone_number": "803-547-1100",
            "fax_number": "803-547-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS DIAGNOSTIC IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2017-07-10",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "770-300-0101",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL",
            "identifier": "155477800",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "470001399",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902840",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SL0048",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP5098",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health Imaging Rock Hill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolina Urology Center, PA
• Carolina Urology Partners, PLLC
• Carolina Vascular Surgery, LLC
• Carolinas Ambulatory Surgery Inc.
• Carolinas Caregivers Enterprises, LLC
• Carolinas Health and Wellness LLC
• Carolinas Imaging Services, LLC
• Carolinas Medical Center at Home, LLC
• Carolinas Physicians Network Inc
• Carolinas Physicians Network Inc

• All providers in Rock Hill, SC
• Diagnostic Radiology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.