Carolinas Medical Alliance Inc

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

CAROLINAS MEDICAL ALLIANCE INC

Doing business as

Carolinas Imaging-Lake City

Practice address

148 Sauls St
Suite F
Lake City, SC 29560-2677

Phone

(843) 669-9440

Fax

(843) 669-9443

NPI assigned

Mar 3, 2017

Last updated

May 9, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mike Swaw

Title

Director

Phone

(615) 778-8076

Specialties & licenses 4

Addresses

Other names 1

• CAROLINAS IMAGING-LAKE CITY Doing business as

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1114467586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 SAULS ST",
            "address_2": "SUITE F",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602677",
            "telephone_number": "843-669-9440",
            "fax_number": "843-669-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS MEDICAL ALLIANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-03",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "SWAW",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-778-8076"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAROLINAS IMAGING-LAKE CITY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dina J Caldwell, OTR/L
• Allison Campbell, FNP-BC
• Tracey Lynn Capps, LDO
• Caring Companions Home Care Agency
• Caring Hearts Helping Hands LLC
• Carolinas Medical Alliance Inc
• Carolinas Medical Alliance Inc (Carolinas Medical Alliance - Lake City Primary Care)
• Carolinas Medical Alliance, Inc (Lake City Medical Clinic)
• Christina Lynn Carter, PTA
• Lisa M Castles, P.A.

• Radiology Clinic/Center in Lake City, SC
• Providers in Lake City, SC by specialty
• Radiology Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.