Organization Active NPI

Shuler Mobile X-Ray Service

  • Early Intervention Provider Agency
  • Columbia, SC
National Provider Identifier
1093953150
Registry record updated Jan 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
00-2769 X-RAY TECH Issued in SC
Legal business name
SHULER MOBILE X-RAY SERVICE
Practice address
3421 Kay St
Suite U5
Columbia, SC 29210-5373
Phone
(803) 477-5366
NPI assigned
Jan 28, 2009
Organization subpart
Yes
Parent organization
SHULER MOBILE X-RAY SERVICEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 28, 2009

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

Authorized official

Name
Mr. Eddie T Shuler RT( R )
Title
Registered X-Ray Technologist
Phone
(803) 477-5366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 00-2769 X-RAY TECH SC Primary

Addresses

Primary practice location

3421 Kay St
Suite U5
Columbia, SC 29210-5373

Mailing address

3421 Kay St
Suite U5
Columbia, SC 29210-5373
Phone (803) 477-5366

Other identifiers 1

IdentifierTypeStateIssuer
1427201789OtherINDIVIDUAL NPI #

Other names 1

  • EDDIE T SHULER Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233100800000",
    "number": "1093953150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 KAY ST",
            "address_2": "SUITE U5",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292105373",
            "telephone_number": "803-477-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 KAY ST",
            "address_2": "SUITE U5",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292105373",
            "telephone_number": "803-477-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHULER MOBILE X-RAY SERVICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHULER MOBILE X-RAY SERVICE",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-01-28",
        "status": "A",
        "authorized_official_last_name": "SHULER    RT( R )",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "REGISTERED  X-RAY TECHNOLOGIST",
        "authorized_official_telephone_number": "803-477-5366",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "SC",
            "license": "00-2769   X-RAY TECH",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1427201789",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EDDIE T SHULER",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; 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.