NPIMap

Organization Active NPI

American Health Imaging of South Carolina LLC

  • Radiology Clinic/Center
  • Spartanburg, SC
National Provider Identifier
1366326464
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
AMERICAN HEALTH IMAGING OF SOUTH CAROLINA LLC
Practice address
2117 E. Main St.
Spartanburg, SC 29307
Phone
(864) 410-0150
Fax
(864) 410-0151
NPI assigned
Aug 1, 2025
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Katrina Roelle
Title
Director of Credentialing
Phone
(614) 689-1691

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 11

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 64

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

View all 64

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2334397American Health Imaging of Spartanburg2117 E Main Street, Spartanburg, SC 29307Certificate of waiverNov 19, 2027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20260521001436 SC Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2062813413 Practice locations: Spartanburg, SC

National Provider Directory

National Provider Directory
Tax ID family
American Health Imaging of South Carolina LLC (12 organizations share this tax ID)

Locations

2117 E Main St
Spartanburg, SC 29307
Phone (864) 410-0150

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

NPPES NPI Registry

Primary practice location

2117 E. Main St.
Spartanburg, SC 29307

Mailing address

700 E Morehead St Ste 300
Charlotte, NC 28202-2742

Other names 1

NPPES NPI Registry
  • American Health Imaging of Spartanburg Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 1, 2025.

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1366326464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E MOREHEAD ST STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 E. MAIN ST.",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "29307",
            "telephone_number": "864-410-0150",
            "fax_number": "864-410-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HEALTH IMAGING OF SOUTH CAROLINA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-01",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "ROELLE",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "614-689-1691"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Health Imaging of Spartanburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.