LONG BAY DIAGNOSTIC IMAGING
NPI 1871763912
Radiology - Diagnostic Radiology in Myrtle Beach, SC

NPI Status: Active since March 05, 2008

Contact Information

900A 21ST AVE NORTH
MYRTLE BEACH, SC
ZIP 29577
Phone: (770) 300-0101
Fax: (770) 300-0429

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  • Organization
  • Radiology
  • Diagnostic Radiology

About LONG BAY DIAGNOSTIC IMAGING

This page provides the complete NPI Profile along with additional information for Long Bay Diagnostic Imaging, a provider established in Myrtle Beach, South Carolina operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1871763912 assigned on March 2008. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Long Bay Diagnostic Imaging. The authorized official of this NPI record is Mr. Daniel J Schaefer (Coo)

NPI
1871763912
Provider Legal Name
PALMETTO IMAGING, INC
Other Organization Name
LONG BAY DIAGNOSTIC IMAGING
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
900A 21ST AVE NORTH MYRTLE BEACH, SC 29577
Location Phone
(770) 300-0101
Location Fax
(770) 300-0429
Mailing Address
PO BOX 933548 ATLANTA, GA 31193
Mailing Phone
(770) 300-0101
Mailing Fax
(770) 300-0429
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-05-2008
Last Update Date
03-05-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DANIEL J SCHAEFER

Authorized Official Title
COO
Authorized Official Phone
(770) 300-0101

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
6196MEDICARE PIN (08)SC 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1871763912
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28141146692
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 4 + 1 + 1 + 4 + 6 + 6 + 9 + 2 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1871763912 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114985397PALMETTO IMAGING, INC
Organization
Radiology (Diagnostic Radiology)900A 21ST AVE NORTH
MYRTLE BEACH, SC 29577
(770) 300-0101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871763912, enumerated in the NPI registry as an "organization" on March 05, 2008

The provider is located at 900a 21st Ave North Myrtle Beach, Sc 29577 and the phone number is (770) 300-0101

This medical organization specializes in Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 05, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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