Organization
CAROLINAS DIAGNOSTIC IMAGING LLC
Active
Other names
Novant Health Imaging Rock Hill
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL J SCHAEFER (COO)
(770) 300-0101
Entity
Organization
Contact information
Practice address
175 AMENDMENT AVE STE 101, ROCK HILL, SC 29732-3042
(803) 547-1100
(803) 547-1137
Mailing address
PO BOX 603543, CHARLOTTE, NC 28260-3543
(678) 393-5600
(770) 300-9018
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
155477800
DOL
SC
01
—
470001399
MEDICARE RAILROAD
—
05
—
5902840
—
NC
05
—
GP5098
—
SC
05
—
SL0048
—
SC
Enumeration date
05/04/2006
Last updated
07/10/2017
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