Active NPI
Medlinq Diagnostics, LLC
- Radiology Clinic/Center
- Fort Mill, SC
National Provider Identifier
1609718360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- MEDLINQ DIAGNOSTICS, LLC
- Practice address
- 10011 Southmoor LN
Fort Mill, SC 29707-9117 - Phone
- (800) 536-0077
- Fax
- (704) 276-6444
- NPI assigned
- Apr 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sergio Khomyak, RDMS, RVT
- Title
- Ceo
- Phone
- (704) 390-6607
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician/Technologist | 156F00000X | |||
| Vascular Sonography Radiologic Technologist | 2471V0105X | |||
| Radiology Clinic/Center | 261QR0200X | Primary | ||
| Mobile Radiology Clinic/Center | 261QR0208X |
Addresses
Primary practice location
10011 Southmoor LN
Fort Mill, SC 29707-9117
Mailing address
10011 Southmoor LN
Fort Mill, SC 29707-9117
Phone (800) 536-0077
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775692800000",
"number": "1609718360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10011 SOUTHMOOR LN",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297079117",
"telephone_number": "800-536-0077",
"fax_number": "704-276-6444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10011 SOUTHMOOR LN",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297079117",
"telephone_number": "800-536-0077",
"fax_number": "704-276-6444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDLINQ DIAGNOSTICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-09",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A",
"authorized_official_last_name": "KHOMYAK",
"authorized_official_first_name": "SERGIO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "704-390-6607",
"authorized_official_credential": "RDMS, RVT"
},
"taxonomies": [
{
"code": "156F00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician/Technologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2471V0105X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Vascular Sonography",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0208X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.