Organization · Type 2 NPI

Source Diagnostics of South Carolina, LLC

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · North Myrtle Beach, SC

NPI number 1245590140 Active

Practice location

2701 S Ocean Blvd, Unit 1831
North Myrtle Beach, SC 29582-4641

Mailing address

5275 Naiman Pkwy, Suite E
Solon, OH 44139-1029

Specialties and licenses

TaxonomyCodeLicense
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Primary 335V00000XNone listed

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier: A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the service…

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About NPI 1245590140

Source Diagnostics of South Carolina, LLC's National Provider Identifier is 1245590140, issued on May 24, 2012. The primary taxonomy on file is Portable X-ray and/or Other Portable Diagnostic Imaging Supplier (335V00000X), and the practice location is in North Myrtle Beach, SC. The record was last updated on May 24, 2012.