NPIMap

Organization Active NPI

Carolinas Imaging Services, LLC

  • Physiological Laboratory
  • Rock Hill, SC
National Provider Identifier
1780113324
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
CAROLINAS IMAGING SERVICES, LLC
Practice address
1656 Riverchase Blvd Ste 1600
Rock Hill, SC 29732-1984
Phone
(803) 992-7220
Fax
(704) 943-3009
NPI assigned
Jun 7, 2017
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 1

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

Member of 2

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

Practitioners 108

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

View all 108

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
42D2006442Carolinas Imaging Services, LLC-Rock Hill, SC1656 Riverchase Blvd, Ste 1600, Rock Hill, SC 29732Certificate of waiverJun 12, 2027
42D2322177Carolinas Imaging Services Fort Mill317 Patricia Lane Ste 103 a, Fort Mill, SC 29708Certificate of waiverApr 15, 2027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20171214000415 SC Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 7113912502 Practice locations: Rock Hill, SC
O20250917002218 SC Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 7113912502 Practice locations: Fort Mill, SC

National Provider Directory

National Provider Directory

Locations

1701 East Blvd
Charlotte, NC 28203

409 Olin Way
Ste 1000
Denver, NC 28037
Phone (704) 464-5704

1401 Matthews Township Pkwy
Ste 310
Matthews, NC 28105
Phone (704) 844-9040

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X
Physiological Laboratory 293D00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1656 Riverchase Blvd Ste 1600
Rock Hill, SC 29732-1984

Mailing address

700 E Morehead St Ste 300
Charlotte, NC 28202-2742
Phone (704) 362-5391

Other practice location 1

317 Patricia Lane
Suite 103A
Fort Mill, SC 29708
Phone (839) 293-0121

Other names 1

NPPES NPI Registry
  • Carolinas Imaging Services - Fort Mill 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 Jul 2, 2025.

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1780113324",
    "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",
            "telephone_number": "704-362-5391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 RIVERCHASE BLVD STE 1600",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321984",
            "telephone_number": "803-992-7220",
            "fax_number": "704-943-3009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 Patricia Lane",
            "address_2": "Suite 103A",
            "address_purpose": "LOCATION",
            "city": "Fort Mill",
            "state": "SC",
            "postal_code": "29708",
            "country_code": "US",
            "telephone_number": "839-293-0121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAROLINAS IMAGING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-07",
        "last_updated": "2025-07-02",
        "certification_date": "2025-06-16",
        "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": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolinas Imaging Services - Fort Mill",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carolinas Imaging Services - Fort Mill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.