Organization
SOUTH CAROLINA DIAGNOSTIC IMAGING, INC
Active
Organization
SOUTH CAROLINA DIAGNOSTIC IMAGING, INC
Active
Other names
Innervision Medical Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL J SCHAEFER (C.O.O.)
(770) 300-0101
Entity
Organization
Contact information
Practice address
1 MARCUS DR, SUITE 101, GREENVILLE, SC 29615-4818
(864) 751-2051
(864) 751-2050
Mailing address
PO BOX 933548, ATLANTA, GA 31193-3548
(877) 527-9375
(770) 300-9018
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
470001385
RAILROAD MEDICARE
SC
Enumeration date
07/20/2009
Last updated
07/27/2010
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