# SOUTH CAROLINA MOBILE IMAGING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841661014
- **Authorized official:** MR. RYAN EDWARD EVERHART (OWNER)
- **Authorized official phone:** (717) 991-0055

## Contact information

- **Practice address:** 13 RED SQUIRREL LN, PAWLEYS ISLAND, SC 29585-5239
- **Practice address phone:** (717) 991-0055
- **Mailing address:** 13 RED SQUIRREL LN, PAWLEYS ISLAND, SC 29585-5239
- **Mailing address phone:** (717) 991-0055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | SC | Yes |

## Other

- **Enumeration date:** 10/14/2015
- **Last updated:** 11/05/2015