NPIMap

Organization Active NPI

Tidelands and Medquest Joint Venture, LLC

Doing business as Tidelands Health Imaging

  • Radiology Clinic/Center
  • Myrtle Beach, SC
National Provider Identifier
1083275366
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
TIDELANDS AND MEDQUEST JOINT VENTURE, LLC
Doing business as
Tidelands Health Imaging
Practice address
900 21St Ave N
Myrtle Beach, SC 29577-7483
Phone
(843) 916-1700
Fax
(843) 916-9460
NPI assigned
Jun 26, 2019
Last updated
Apr 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
Erin Beadle
Title
Evp&Cfo
Phone
(843) 520-8617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

900 21St Ave N
Myrtle Beach, SC 29577-7483

Mailing address

PO Box 421718
Georgetown, SC 29442-4203
Phone (843) 527-7000

Other names 1

  • Tidelands Health Imaging Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191127000540 SC Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 4587097894 Practice locations: Myrtle Beach, SC

National Provider Directory

National Provider Directory

Member of 1

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

Locations

900 21st Ave N
Myrtle Beach, SC 29577
Phone (843) 916-1700

Practitioners & affiliated clinicians

Practitioners 102

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 102

NPI Registry JSON

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1083275366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421718",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294424203",
            "telephone_number": "843-527-7000",
            "fax_number": "843-916-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 21ST AVE N",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295777483",
            "telephone_number": "843-916-1700",
            "fax_number": "843-916-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDELANDS AND MEDQUEST JOINT VENTURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-26",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "BEADLE",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "EVP&CFO",
        "authorized_official_telephone_number": "843-520-8617"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tidelands Health Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.