Organization · Type 2 NPI

Grand Strand Regional Medical Center, LLC

Radiology Clinic/Center · Myrtle Beach, SC

NPI number 1700717410 Active

Practice location

199 Village Center Blvd Ste 110
Myrtle Beach, SC 29579-3589

Specialties and licenses

Taxonomy	Code	License
Radiology Clinic/Center Primary	261QR0200X	None listed

Radiology Clinic/Center: Definition to come...

Another provider at this address

Obstetrix Medical Group of Atlanta, LLCMaternal & Fetal Medicine Physician Myrtle Beach, SC NPI 1609617166

Other radiology clinic/center providers in Myrtle Beach

See all in Myrtle Beach →

NPI record

NPI: 1700717410
Entity type: Organization (Type 2)
Issued: May 29, 2026
Last updated: May 29, 2026
Status: Active
Subpart: Yes of Grand Strand Regional Medical Center, LLC

Other names

Carolina Forest Imaging Center, A Department of Grand Strand Regional Medical Center · doing business as

Authorized official

Mark Edward Sims
CEO
(843) 692-1104

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1700717410

Grand Strand Regional Medical Center, LLC's National Provider Identifier is 1700717410, issued on May 29, 2026. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in Myrtle Beach, SC. The record was last updated on May 29, 2026.