SUMMERVILLE MRI & IMAGING – NPI #1508824814
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

SUMMERVILLE MRI & IMAGING is a radiologist located in SUMMERVILLE, SC. NPPES has assigned the NPI number 1508824814 to SUMMERVILLE MRI & IMAGING on May 03, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SUMMERVILLE MRI & IMAGING” is a dba name, the actual legal business name for this organization is SOUTH CAROLINA DIAGNOST IMAGING INC. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 18 years ago on Sep 12, 2008. 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 SUMMERVILLE MRI & IMAGING below.

NPI Profile for
SOUTH CAROLINA DIAGNOST IMAGING INC

NPI Number
1508824814
Enumeration Date

(more than 20 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
SOUTH CAROLINA DIAGNOST IMAGING INC
Doing Business As (dba): SUMMERVILLE MRI & IMAGING
Primary location
4340 LADSON ROAD
SUITE C
SUMMERVILLE, SC 29485
Phone: (770) 300-0101 Fax: (770) 300-0429
Mailing address
PO BOX 933548
ATLANTA, GA 31193-3548
Phone: (770) 300-0101 Fax: (770) 300-0429
Organization Subpart
No
Authorized Official
DANIEL SCHAEFER
COO
Phone: (770) 300-0101
Updated
Identifiers

Identifiers for SUMMERVILLE MRI & IMAGING

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
OTHERRAILROAD MEDICARESC470001385
MEDICAIDSCSL0053
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
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
SC

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.