Active NPI
Palmetto Imaging, Inc
Doing business as Innervision MRI & Imaging at Grove
- Diagnostic Radiology Physician
- Greenville, SC
National Provider Identifier
1821220807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- PALMETTO IMAGING, INC
- Doing business as
- Innervision MRI & Imaging at Grove
- Practice address
- 1 Cannon Dr
Greenville, SC 29605-4201 - Phone
- (864) 242-4011
- Fax
- (864) 233-2677
- NPI assigned
- Aug 10, 2009
- 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
- C.O.O.
- Phone
- (770) 300-0101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
1 Cannon Dr
Greenville, SC 29605-4201
Mailing address
PO Box 933548
Atlanta, GA 31193-3548
Phone (877) 527-9375
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470000944 | Other | SC | RAILROAD MEDICARE |
Other names 1
- Innervision MRI & Imaging at Grove
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Novant Health Rehabilitation Center
- Physical Therapy Clinic/Center
- Winston Salem, NC
- NPI 1205894029
Member Of
Locations
1331 Lady St
Columbia, SC 29201
Phone (803) 256-7646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249862400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283212800000",
"number": "1821220807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 933548",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311933548",
"telephone_number": "877-527-9375",
"fax_number": "770-300-9018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CANNON DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054201",
"telephone_number": "864-242-4011",
"fax_number": "864-233-2677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALMETTO IMAGING, INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-10",
"last_updated": "2010-08-31",
"status": "A",
"authorized_official_last_name": "SCHAEFER",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "C.O.O.",
"authorized_official_telephone_number": "770-300-0101",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "470000944",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Innervision MRI & Imaging at Grove",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Greenville, SC
- Palmetto Health Partners of SC LLC
- Palmetto Home Care Upstate, LLC
- Palmetto Home Care Upstate, LLC
- Palmetto Hospitalist Services LLC
- Palmetto Hospitalist Services LLC
- Palmetto Ofs, LLC
- Palmetto Orthodontics, PA
- Palmetto Periodontics of Greenville PA
- Palmetto Periodontics PA
- Palmetto Physical Medicine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.