NPIMap

Organization Active NPI

Strand Lung Center

  • Medical Specialty Clinic/Center
  • Myrtle Beach, SC
National Provider Identifier
1851356331
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
21961 Issued in SC
Legal business name
STRAND LUNG CENTER
Practice address
Suite C 1304 48TH Ave
Myrtle Beach, SC 29577-5427
Phone
(843) 449-5864
Fax
(843) 692-3012
NPI assigned
Apr 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Deborah Leibman, BSE
Title
Office Manager
Phone
(843) 449-5864

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 21961 SC Primary

Addresses

Primary practice location

Suite C 1304 48TH Ave
Myrtle Beach, SC 29577-5427

Mailing address

P O Box 7637
Myrtle Beach, SC 29572-0015
Phone (843) 449-5864

Other identifiers 1

IdentifierTypeStateIssuer
T61769MedicaidSC

National Provider Directory

National Provider Directory

Locations

4209 Mayfair St
Ste A
Myrtle Beach, SC 29577
Phone (843) 449-5864

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1851356331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 7637",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295720015",
            "telephone_number": "843-449-5864",
            "fax_number": "843-692-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUITE C 1304 48TH AVE",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775427",
            "telephone_number": "843-449-5864",
            "fax_number": "843-692-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRAND LUNG CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "LEIBMAN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "843-449-5864",
        "authorized_official_credential": "BSE"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "SC",
            "license": "21961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T61769",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.