South Carolina Diagnostic Imaging, Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

SOUTH CAROLINA DIAGNOSTIC IMAGING, INC

Practice address

1 Marcus Dr
Suite 101
Greenville, SC 29615-4818

Phone

(864) 751-2051

Fax

(864) 751-2050

NPI assigned

Jul 20, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Daniel J Schaefer

Title

C.O.O.

Phone

(770) 300-0101

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Innervision Medical Imaging Center Doing business as

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• South Carolina Diagnostic Imaging, LLC

  • Diagnostic Radiology Physician
  • Charleston, SC
  • NPI 1275591448

  Member Of

  NPD member
• Foundation Health Systems LLC

  • Physical Therapy Clinic/Center
  • Winston Salem, NC
  • NPI 1205894029

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffery M Newman, MD

  • Diagnostic Radiology Physician
  • Spartanburg, SC
  • NPI 1629036009

  Diagnostic Radiology

  NPD (past)
• Donald Erick Olofsson, D.O.

  • Diagnostic Radiology Physician
  • Sycamore, IL
  • NPI 1124057047

  Diagnostic Radiology

  NPD (past)

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1346470747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 933548",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311933548",
            "telephone_number": "877-527-9375",
            "fax_number": "770-300-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MARCUS DR",
            "address_2": "SUITE 101",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154818",
            "telephone_number": "864-751-2051",
            "fax_number": "864-751-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CAROLINA DIAGNOSTIC IMAGING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-20",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "C.O.O.",
        "authorized_official_telephone_number": "770-300-0101",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "470001385",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innervision Medical Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• South Carolina CVS Pharmacy, L.L.C.
• South Carolina Dental Sleep Center, LLC
• South Carolina Department of Juvenile Justice
• South Carolina Dept of Mental Health Accounting Office
• South Carolina Dept of Mental Health Accounting Office
• South Carolina Foot Care, Inc.
• South Carolina Interventional Pain - a, LLC
• South Carolina Luna Care Physical Therapy LLC
• South Carolina Pain and Wellness Center, LLC
• South Carolina Physicians Eyecare Group, P.C.

• All providers in Greenville, SC
• Diagnostic Radiology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.