LONG BAY DIAGNOSTIC IMAGING
NPI 1114985397
Radiology - Diagnostic Radiology in Myrtle Beach, SC

Q: What is Palmetto Imaging, Inc's NPI number?

The NPI number for Palmetto Imaging, Inc is 1114985397. It was assigned to this organization in the NPPES registry on May 3, 2006. The provider is doing business as Long Bay Diagnostic Imaging.

Q: What is Palmetto Imaging, Inc's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Active since May 03, 2006CLIA 42D1014500 · Waiver

900A 21ST AVE NORTH, MYRTLE BEACH, SC 29577(770) 300-0101(770) 300-0429 Get Directions Write a Review

NPPES record last updated: June 16, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Long Bay Diagnostic Imaging NPPES

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

LONG BAY DIAGNOSTIC IMAGING (NPI 1114985397) is a healthcare organization registered as a diagnostic radiology in Myrtle Beach, South Carolina and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through March 23, 2028 and lists Daniel J Schaefer, Coo, as its authorized official.

NPPES Registry Identity

NPI1114985397

Entity TypeOrganization

Primary Taxonomy2085R0202X

Legal Business NamePALMETTO IMAGING, INC

Location Address900A 21ST AVE NORTHMyrtle Beach, SC 29577-7483

Mailing AddressPo Box 933548Atlanta, GA 31193-3548 · (770) 300-0101 · Fax (770) 300-0429

Phone(770) 300-0101

Fax(770) 300-0429

Organization SubpartNo

Authorized OfficialDaniel J SchaeferCoo · (770) 300-0101

Enumeration DateMay 3, 2006

Last NPPES UpdateJune 16, 2008

✔ NPI 1114985397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

900A 21ST AVE NORTH, Myrtle Beach, SC 29577

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Other Names 1

Doing Business AsLong Bay Diagnostic Imaging

Other Identifiers 5

Other470000944SC · Railroad Medicare

Other=========001SC · Tricare

Medicare PINQ323690003SC

MedicaidSL0049SC

Other=========001SC · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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 42D1014500

Long Bay Diagnostic Imaging · Myrtle Beach, SC

Active · expires Mar 23, 2028

CLIA Number42D1014500

Laboratory TypeOther

Certificate Effective DateMarch 24, 2026

Certificate Expiration DateMarch 23, 2028

Laboratory DirectorGerald Congdon MD

Laboratory Phone(843) 916-1700

Laboratory LocationLong Bay Diagnostic Imaging900 21st Ave North, Myrtle Beach, SC 29577

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PALMETTO IMAGING, INC

Radiology (Diagnostic Radiology)

900A 21ST AVE NORTH
MYRTLE BEACH, SC 29577

Horry County (770) 300-0101

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 Palmetto Imaging, Inc's NPI number?

The NPI number for Palmetto Imaging, Inc is 1114985397. It was assigned to this organization in the NPPES registry on May 3, 2006. The provider is doing business as Long Bay Diagnostic Imaging.

Where is Palmetto Imaging, Inc located?

Palmetto Imaging, Inc is located at 900A 21st Ave North, Myrtle Beach, SC 29577. The listed phone number is (770) 300-0101.

What is Palmetto Imaging, Inc's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Does Palmetto Imaging, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D1014500) is associated with this NPI, valid through March 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Palmetto Imaging, Inc accept?

Health plans from CareSource list Palmetto Imaging, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Palmetto Imaging, Inc was last updated on June 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.