# SHORELINE IMAGING

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

## Provider details

- **NPI number:** 1992141717
- **Authorized official:** MS. TIFFANY NICHOLE SCHUMAL RT(S)(VS) (CO-OWNER)
- **Authorized official phone:** (843) 251-5983

## Contact information

- **Practice address:** 910 GYPSY LN, MC CLELLANVILLE, SC 29458-9733
- **Practice address phone:** (843) 251-5983
- **Mailing address:** PO BOX 16103, MYRTLE BEACH, SC 29587-6103
- **Mailing address phone:** (843) 251-5983

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 40231 | SC | — |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 447384 | SC | Yes |

## Other

- **Enumeration date:** 05/20/2013
- **Last updated:** 07/31/2014