Organization Active NPI

Shoreline Imaging Center

  • Sonography Radiologic Technologist
  • Myrtle Beach, SC
National Provider Identifier
1376008052
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
Legal business name
SHORELINE IMAGING CENTER
Practice address
9261 Highway 707 Ste F
Myrtle Beach, SC 29588-7822
Phone
(843) 251-5983
Fax
(843) 408-4636
NPI assigned
Feb 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Authorized official

Name
Tiffany Schumal, R.T.(S)(VS)(ARRT)
Title
Owner/Administrator
Phone
(843) 251-5983

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085U0001X
Sonography Radiologic TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2471S1302X Primary
Vascular Sonography Radiologic TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2471V0105X

Addresses

Primary practice location

9261 Highway 707 Ste F
Myrtle Beach, SC 29588-7822

Mailing address

9261 Highway 707 Ste F
Myrtle Beach, SC 29588-7822
Phone (843) 251-5983

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190515000287 SC Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1951644962 Practice locations: Myrtle Beach, SC

National Provider Directory

National Provider Directory

Locations

9261 Highway 707
Ste F
Myrtle Beach, SC 29588
Phone (843) 251-5983

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1376008052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9261 HIGHWAY 707 STE F",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295887822",
            "telephone_number": "843-251-5983",
            "fax_number": "843-408-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9261 HIGHWAY 707 STE F",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295887822",
            "telephone_number": "843-251-5983",
            "fax_number": "843-408-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE IMAGING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "SCHUMAL",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "843-251-5983",
        "authorized_official_credential": "R.T.(S)(VS)(ARRT)"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.