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Source Diagnostics Of South Carolina, Llc
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in North Myrtle Beach, South Carolina
NPI 1245590140

Source Diagnostics Of South Carolina, Llc is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier based in Solon, SC. Source Diagnostics Of South Carolina, Llc practices in North Myrtle Beach, SC. The NPI Number for Source Diagnostics Of South Carolina, Llc is 1245590140 and holds a License No. (South Carolina).

The current practice location address for Source Diagnostics Of South Carolina, Llc is 2701 S Ocean Blvd, North Myrtle Beach, SC and can be reached out via phone at 440-645-7822.

Location: 2701 S Ocean Blvd, North Myrtle Beach, SC, 44139-1029
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245590140
Provider Name
Source Diagnostics Of South Carolina, Llc
Credential
Provider Entity Type
Organization
Address
2701 S Ocean Blvd, North Myrtle Beach, SC, 44139-1029
Phone Number
440-645-7822
Fax Number
Provider Enumeration Date
05/24/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2701 S Ocean Blvd
City
North Myrtle Beach
State
South Carolina
Zip
29582-4641
Phone Number
440-645-7822
Fax Number
person
Provider Business Mailing Address Details
Address
2701 S Ocean Blvd
City
North Myrtle Beach
State
South Carolina
Zip
29582-4641
Phone Number
440-645-7822
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Speciality
-
Taxonomy
335V00000X
License No.
()
Definition
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.
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