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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