Active NPI
Shuler Mobile X-Ray Service
- Early Intervention Provider Agency
- Columbia, SC
National Provider Identifier
1093953150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 00-2769 X-RAY TECH
- 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 SERVICE
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427201789 | Other | INDIVIDUAL NPI # |
Other names 1
- EDDIE T SHULER
National Provider Directory
National Provider DirectoryNPI 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.