South Carolina Mobile Imaging

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

SOUTH CAROLINA MOBILE IMAGING

Practice address

13 Red Squirrel LN
Pawleys Island, SC 29585-5239

Phone

(717) 991-0055

NPI assigned

Oct 14, 2015

Last updated

Nov 5, 2015By 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

Mr. Ryan Edward Everhart

Title

Owner

Phone

(717) 991-0055

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1841661014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 RED SQUIRREL LN",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295855239",
            "telephone_number": "717-991-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 RED SQUIRREL LN",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295855239",
            "telephone_number": "717-991-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CAROLINA MOBILE IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "EVERHART",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-991-0055",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Pawley's Island, SC
• Providers in Pawley's Island, SC by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.