Organization Active NPI

Palmetto Imaging, Inc

Doing business as Innervision MRI & Imaging at Grove

  • Diagnostic Radiology Physician
  • Greenville, SC
National Provider Identifier
1821220807
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
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

Updated by the provider on Aug 31, 2010

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)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
470000944OtherSCRAILROAD MEDICARE

Other names 1

  • Innervision MRI & Imaging at Grove Doing business as

National Provider Directory

National Provider Directory

Member of 1

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

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

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.

Verify at the official NPI Registry.