# IMAGING CENTER AT BAXTER VILLAGE, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Imaging Center at Baxter Village
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013170109
- **Authorized official:** MR. MICHAEL KYLE BURTNETT (SVP OF OUTPATIENT SERVICES, TENET)
- **Authorized official phone:** (469) 893-2153

## Contact information

- **Practice address:** 509 6TH BAXTER CROSSING, FORT MILL, SC 29708
- **Practice address phone:** (803) 329-6829
- **Mailing address:** 222 S HERLONG AVE, ROCK HILL, SC 29732-1158
- **Mailing address phone:** (803) 329-6829

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/08/2008
- **Last updated:** 07/28/2016