Active NPI
Palmetto Imaging, Inc
- Diagnostic Radiology Physician
- Columbia, SC
National Provider Identifier
1790955888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- PALMETTO IMAGING, INC
- Practice address
- 3010 Farrow Rd
Suite 100
Columbia, SC 29204-7603 - Phone
- (770) 300-0101
- Fax
- (770) 300-0429
- NPI assigned
- Mar 5, 2008
- 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
- Mr. Daniel J Schaefer
- Title
- Coo
- Phone
- (770) 300-0101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
3010 Farrow Rd
Suite 100
Columbia, SC 29204-7603
Mailing address
PO Box 70609
North Charleston, SC 29415-0609
Phone (770) 300-0101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040913000181 | SC | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 4284601188 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Florence, SC |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
3010 Farrow Rd
Ste 100
Columbia, SC 29203
Phone (803) 434-7750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204675200000",
"number": "1790955888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 70609",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294150609",
"telephone_number": "770-300-0101",
"fax_number": "770-300-0429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3010 FARROW RD",
"address_2": "SUITE 100",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292047603",
"telephone_number": "770-300-0101",
"fax_number": "770-300-0429"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALMETTO IMAGING, INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-05",
"last_updated": "2008-03-05",
"status": "A",
"authorized_official_last_name": "SCHAEFER",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "770-300-0101",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
- Palmetto Health Usc Medical Group
- Palmetto Home Healthcare Solutions LLC
- Palmetto House Calls PC
- Palmetto Hyperbaric Solutions
- Palmetto Imaging, Inc
- Palmetto Imaging, LLC
- Palmetto Internal Medicine PA
- Palmetto Kidney and Hypertension Associates LLC
- Palmetto Kids Speech Therapy, LLC
- Palmetto Labs Now, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.