THE IMAGING CENTER AT BAXTER VILLAGE
NPI 1013170109
Clinic/Center - Magnetic Resonance Imaging (MRI) in Fort Mill, SC
About The Imaging Center At Baxter Village NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE IMAGING CENTER AT BAXTER VILLAGE (NPI 1013170109) is a healthcare organization registered as a magnetic resonance imaging (mri) in Fort Mill, South Carolina and active in the NPI registry since July 2008. The organization holds a CLIA Waiver certificate valid through January 19, 2027 and lists Michael Kyle Burtnett, Svp Of Outpatient Services, Tenet, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 42D2018987
The Imaging Center At Baxter Village · Fort Mill, SCFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Imaging Center At Baxter Village, L.L.C.'s NPI number?
The NPI number for Imaging Center At Baxter Village, L.L.C. is 1013170109. It was assigned to this organization in the NPPES registry on July 8, 2008. The provider is doing business as The Imaging Center At Baxter Village.
Where is Imaging Center At Baxter Village, L.L.C. located?
Imaging Center At Baxter Village, L.L.C. is located at 509 6th Baxter Crossing, Fort Mill, SC 29708. The listed phone number is (803) 329-6829.
What is Imaging Center At Baxter Village, L.L.C.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Magnetic Resonance Imaging (MRI), with taxonomy code 261QM1200X.
Does Imaging Center At Baxter Village, L.L.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 42D2018987) is associated with this NPI, valid through January 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Imaging Center At Baxter Village, L.L.C. was last updated on July 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# The Imaging Center At Baxter Village · NPI 1013170109
Magnetic Resonance Imaging (MRI) organization in Fort Mill, South Carolina. Organization record, active in the CMS NPPES registry since July 8, 2008.
## Identity
- **NPI:** 1013170109 (Entity type: Organization)
- **Enumerated:** July 8, 2008
- **Primary specialty:** Clinic/Center - Magnetic Resonance Imaging (MRI) · taxonomy 261QM1200X
- **Legal business name:** Imaging Center At Baxter Village, L.l.c.
- **Organization subpart:** No
- **Authorized official:** Michael Burtnett, SVP OF OUTPATIENT SERVICES, TENET
## Practice location
- **Address:** 509 6TH BAXTER CROSSING, Fort Mill, SC 29708
- **Phone:** (803) 329-6829
## Record status
- **NPPES last updated:** July 28, 2016
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1013170109) · Data from the CMS NPPES public registry.