Direct Imaging Services LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

DIRECT IMAGING SERVICES LLC

Practice address

2157 Rich Street
Suite101
North Charleston, SC 29405-6507

Phone

(843) 414-7026

NPI assigned

May 19, 2026

Organization subpart

No

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

Authorized official

Name

Mark Grogg

Title

Owner

Phone

(843) 708-3891

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1779148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1205766748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2157 RICH ST SUITE 101",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294056507",
            "telephone_number": "843-414-7026",
            "fax_number": "888-818-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2157 RICH STREET",
            "address_2": "SUITE101",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294056507",
            "telephone_number": "843-414-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT IMAGING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-19",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A",
        "authorized_official_last_name": "GROGG",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-708-3891"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physiological Laboratory in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Physiological Laboratory in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.