Long Bay Diagnostic Imaging Murrells Inlet, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

LONG BAY DIAGNOSTIC IMAGING MURRELLS INLET, LLC

Doing business as

Long Bay Diagnostic Imaging Murrells Inlet

Practice address

4407 Highway 17 Bypass
Murrells Inlet, SC 29576-5097

Phone

(678) 992-7255

NPI assigned

Oct 26, 2016

Organization subpart

No

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

Authorized official

Name

Daniel Schaefer

Title

Coo

Phone

(678) 992-7255

Specialties & licenses 1

Addresses

Other names 1

• Long Bay Diagnostic Imaging Murrells Inlet Doing business as

Locations

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1932651908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 HIGHWAY 17 BYPASS",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 HIGHWAY 17 BYPASS",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765097",
            "telephone_number": "678-992-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BAY DIAGNOSTIC IMAGING MURRELLS INLET, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "678-992-7255"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Long Bay Diagnostic Imaging Murrells Inlet",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Diagnostic Radiology Physician in Murrells Inlet, SC
• Providers in Murrells Inlet, SC by specialty
• Diagnostic Radiology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.