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COASTAL MRI
NPI 1053375642
Clinic/Center - Magnetic Resonance Imaging (MRI) in Port Royal, SC

Active since April 12, 2006
1319 LADYS ISLAND DR, PORT ROYAL, SC 29935(843) 524-6736(843) 524-1386 Get Directions Write a Review

NPPES record last updated: February 6, 2012. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Coastal Mri NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COASTAL MRI (NPI 1053375642) is a healthcare organization registered as a magnetic resonance imaging (mri) in Port Royal, South Carolina and active in the NPI registry since April 2006. The organization lists Paul Mazzeo, Neurologist, as its authorized official.

NPPES Registry Identity

NPI1053375642
Entity TypeOrganization
Primary Taxonomy261QM1200X
Legal Business NameBEAUFORT OPEN MRI, LLC
Location Address1319 LADYS ISLAND DRPort Royal, SC 29935-1153
Mailing Address1319 Ladys Island DrPort Royal, SC 29935-1153 · (843) 524-6736 · Fax (843) 524-1386
Phone(843) 524-6736
Fax(843) 524-1386
Organization SubpartNo
Authorized OfficialPaul MazzeoNeurologist · (843) 522-1420
Enumeration DateApril 12, 2006
Last NPPES UpdateFebruary 6, 2012
✔ NPI 1053375642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Magnetic Resonance Imaging (MRI)Ambulatory Health Care Facilities
Taxonomy Code261QM1200X
License✔ Licensed in SC · 14702
1319 LADYS ISLAND DR, Port Royal, SC 29935
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Other Names 1

Doing Business AsCoastal Mri

Other Identifiers 2

Medicare PINQ328900001SC
MedicaidSL0059SC

Frequently 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 Beaufort Open Mri, LLC's NPI number?

The NPI number for Beaufort Open Mri, LLC is 1053375642. It was assigned to this organization in the NPPES registry on April 12, 2006. The provider is doing business as Coastal Mri.

Where is Beaufort Open Mri, LLC located?

Beaufort Open Mri, LLC is located at 1319 Ladys Island Dr, Port Royal, SC 29935. The listed phone number is (843) 524-6736.

What is Beaufort Open Mri, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Magnetic Resonance Imaging (MRI), with taxonomy code 261QM1200X.

When was this NPI record last updated?

The NPPES record for Beaufort Open Mri, LLC was last updated on February 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.