CAROLINA FOREST IMAGING CENTER LLC – NPI #1063603587
Clinic/Center

CAROLINA FOREST IMAGING CENTER LLC is an AHC clinic located in MYRTLE BEACH, SC. NPPES has assigned the NPI number 1063603587 to CAROLINA FOREST IMAGING CENTER LLC on August 08, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QR0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Radiology

The NPI profile was previously updated about 19 years ago on Nov 30, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CAROLINA FOREST IMAGING CENTER LLC below.

NPI Profile for
CAROLINA FOREST IMAGING CENTER LLC

NPI Number
1063603587
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CAROLINA FOREST IMAGING CENTER LLC
Primary location
199 VILLAGE CENTER BLVD
SUITE 110
MYRTLE BEACH, SC 29579
Phone: (843) 236-7878 Fax: (843) 236-6406
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LAVELLE HARDIN
CREDENTIALING COORDINATOR
Phone: (615) 344-8203
Updated
Identifiers

Identifiers for CAROLINA FOREST IMAGING CENTER LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDSCGP4758
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR0200X
- Clinic/Center / Radiology (Primary)
261QR0206X
- Clinic/Center / Radiology, Mammography
261QM1200X
- Clinic/Center / Magnetic Resonance Imaging (MRI)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.