Carolina Forest Imaging Center LLC
NPI #1063603587 in Myrtle Beach, South Carolina
Provider Information
- NPI Number
- 1063603587
- Entity Type
- Organization
- Organization Name
- Carolina Forest Imaging Center LLC
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Aug 8, 2007
- Last Updated
- Nov 30, 2007
Practice Location
- Address
- 199 VILLAGE CENTER BLVD
- Address 2
- SUITE 110
- City
- Myrtle Beach
- State
- South Carolina
- ZIP Code
- 29579
- Phone
- (843) 236-7878
Authorized Official
- Name
- MR. LAVELLE R HARDIN
- Title
- CREDENTIALING COORDINATOR
- Phone
- (615) 344-8203
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Magnetic Resonance Imaging (MRI) — Magnetic Resonance Imaging (MRI) |
| Clinic/Center - Radiology, Mammography — Radiology, Mammography |
| Clinic/Center - Radiology — Radiology |
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