Organization Active NPI

Pavillion Imaging

  • Radiology Clinic/Center
  • Hilton Head, SC
National Provider Identifier
1730333246
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
PAVILLION IMAGING
Practice address
25 Hospital Center Blvd
Suite 302
Hilton Head, SC 29926-2738
Phone
(843) 681-8203
Fax
(843) 689-6283
NPI assigned
Nov 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

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

Authorized official

Name
Mr. Roger Phillips
Title
Manager
Phone
(770) 335-9797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X SC Primary

Addresses

Primary practice location

25 Hospital Center Blvd
Suite 302
Hilton Head, SC 29926-2738

Mailing address

25 Hospital Center Blvd
Suite 302
Hilton Head, SC 29926-2738

National Provider Directory

National Provider Directory
Tax ID family
Pavillion Imaging2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

25 Hospital Center Blvd
Ste 302
Hilton Head Island, SC 29926
Phone (843) 681-8203

NPI Registry JSON

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1730333246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HOSPITAL CENTER BLVD",
            "address_2": "SUITE 302",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299262738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HOSPITAL CENTER BLVD",
            "address_2": "SUITE 302",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299262738",
            "telephone_number": "843-681-8203",
            "fax_number": "843-689-6283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAVILLION IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-11",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-335-9797",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; 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.