Organization Active NPI

Radiology Professional Services, LLC

  • Diagnostic Radiology Physician
  • Bluffton, SC
National Provider Identifier
1952724775
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
RADIOLOGY PROFESSIONAL SERVICES, LLC
Practice address
18 Clark Summit Dr
Bluffton, SC 29910-4963
Phone
(843) 815-9700
Fax
(843) 815-9701
NPI assigned
Jan 30, 2014
Last updated
Jan 31, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

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

Authorized official

Name
A Joseph Borelli Jr., MD
Title
President & Medical Director
Phone
(843) 815-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X SC Primary

Addresses

Primary practice location

18 Clark Summit Dr
Bluffton, SC 29910-4963

Mailing address

18 Clark Summit Dr
Bluffton, SC 29910-4963
Phone (843) 815-9700

National Provider Directory

National Provider Directory

Locations

18 Clark Summit Dr
Bluffton, SC 29910
Phone (843) 815-9700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391126400000",
    "number": "1952724775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 CLARK SUMMIT DR",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104963",
            "telephone_number": "843-815-9700",
            "fax_number": "843-815-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CLARK SUMMIT DR",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104963",
            "telephone_number": "843-815-9700",
            "fax_number": "843-815-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY PROFESSIONAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-01-31",
        "status": "A",
        "authorized_official_last_name": "BORELLI",
        "authorized_official_first_name": "A",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT & MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "843-815-9700",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; 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.