Shoreline Imaging

Primary specialty

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

License

447384 Issued in SC

Legal business name

SHORELINE IMAGING

Practice address

910 Gypsy LN
MC Clellanville, SC 29458-9733

Phone

(843) 251-5983

NPI assigned

May 20, 2013

Last updated

Jul 31, 2014By 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

Ms. Tiffany Nichole Schumal, RT(S)(VS)

Title

Co-Owner

Phone

(843) 251-5983

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1992141717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16103",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295876103",
            "telephone_number": "843-251-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 GYPSY LN",
            "city": "MC CLELLANVILLE",
            "state": "SC",
            "postal_code": "294589733",
            "telephone_number": "843-251-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-20",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "SCHUMAL",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "843-251-5983",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RT(S)(VS)"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "SC",
            "license": "40231",
            "primary": false
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "SC",
            "license": "447384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Our New Beginning
• Norris Rick Philbeck, OD
• Jarrod Reynolds, M.D.
• Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Primary Care)
• Mary Katherine Scott
• Katharine Claussen Smith, D.M.D
• St James Health and Wellness Inc (St James Santee Family Health Center Inc)
• Martha Stilwell, PT
• Joseph Deer Thomas Jr., MD
• Laura Jean Varadi, DMD

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in McClellanville, SC
• Providers in McClellanville, 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 Jul 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.