Carolinas Imaging Services, LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

CAROLINAS IMAGING SERVICES, LLC

Doing business as

Carolinas Imaging Services - Fort Mill

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

Last updated

Jul 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katrina Roelle

Title

Director of Credentialing

Phone

(614) 689-1691

Specialties & licenses 2

Addresses

Other names 1

• Carolinas Imaging Services - Fort Mill Doing business as

Medicare fee-for-service enrollment

Enrolled in SC2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

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

• Carolinas Imaging Services LLC

  • Physiological Laboratory
  • Denver, NC
  • NPI 1093765851

  7113912502

  Same PAC ID

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

CLIA laboratory certificates

Member of 2

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

• Charlotte Radiology PA

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1003110677

  Member Of

  NPD member
• The Charlotte-Mecklenburg Hospital Authority

  dba Atrium Health University City

  • General Acute Care Hospital
  • Charlotte, NC
  • NPI 1346297892

  Member Of

  NPD member

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• West Stanly Imaging LLC

  dba Atrium Health Imaging Locust

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Locust, NC
  • NPI 1528567088

  Member Of

  NPD member

Locations

Practitioners 107

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ole Sami Aassar, M.D.

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1053315499
  NPD
• Peter Abraham, MD, MAS

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1528520624
  NPD
• Deborah G. Agisim, M.D.

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1154325553
  NPD
• Vittorio Paolo Antonacci, M.D.

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1902800329
  NPD
• Joshua Arnold, MD

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1720511033
  NPD
• Fadi Samir Azer, MD

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1285098749
  NPD
• Aaron Heinrich Baer, M.D.

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1194952267
  NPD
• Spencer Keaton Barrett, M.D.

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1245685759
  NPD
• Ross Joseph Bellavia, M.D.

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1174527592
  NPD
• Casey Edward Bohl, M.D.

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1982847463
  NPD
• Vaughn Braxton, MD

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1255777678
  NPD
• William Egbert Campbell Jr., MD

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1043299175
  NPD

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

{
    "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"
        }
    ]
}

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• Carolinas Physicians Network Inc (Atrium Health Urgent Care)
• Carolinas Physicians Network Inc (Atrium Health Primary Care)
• Carolinas Physicians Network Inc (Pediatric Urology Associates)
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• Physiological Laboratory in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Physiological Laboratory in South Carolina

• 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.