Healthserv, Inc

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

HEALTHSERV, INC

Practice address

Suite D
3100 Dick Pond Rd
Myrtle Beach, SC 29588-6835

Phone

(843) 497-1134

NPI assigned

Sep 12, 2005

Last updated

Dec 4, 2007By 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

Carol Ann Liner

Title

VP Operation

Phone

(843) 497-1134

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1205821634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 DICK POND RD",
            "address_2": "SUITE D",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295887286",
            "telephone_number": "843-497-1134",
            "fax_number": "843-294-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUITE D",
            "address_2": "3100 DICK POND RD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295886835",
            "telephone_number": "843-497-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSERV, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "LINER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "VP OPERATION",
        "authorized_official_telephone_number": "843-497-1134"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PL0085",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mobile Radiology Clinic/Center in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Mobile Radiology Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.