Active NPI
Winyah Diagnostics Inc
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Pawleys Island, SC
National Provider Identifier
1790731156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Legal business name
- WINYAH DIAGNOSTICS INC
- Practice address
- 21D Professional Dr
Pawleys Island, SC 29585 - Phone
- (843) 979-9729
- Fax
- (843) 979-1366
- NPI assigned
- May 26, 2006
- 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
- David Whitlock
- Title
- President
- Phone
- (843) 979-9729
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | Primary |
Addresses
Primary practice location
21D Professional Dr
Pawleys Island, SC 29585
Mailing address
PO Box 4443
Pawleys Island, SC 29585-8443
Phone (843) 979-9729
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SL0041 | Medicaid | SC | |
| 630001644 | Other | SC | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
21 Professional Ln
Unit D
Pawleys Island, SC 29585
Phone (843) 797-9729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215561600000",
"number": "1790731156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4443",
"city": "PAWLEYS ISLAND",
"state": "SC",
"postal_code": "295858443",
"telephone_number": "843-979-9729",
"fax_number": "843-979-1366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21D PROFESSIONAL DR",
"city": "PAWLEYS ISLAND",
"state": "SC",
"postal_code": "29585",
"telephone_number": "843-979-9729",
"fax_number": "843-979-1366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINYAH DIAGNOSTICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-26",
"last_updated": "2008-07-09",
"status": "A",
"authorized_official_last_name": "WHITLOCK",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "843-979-9729"
},
"taxonomies": [
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SL0041",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "630001644",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pawleys Island, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.