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SOUTHEAST REGIONAL VIRTUAL IMAGING CONSULTING ENTERPRISE PA
NPI 1205844586
Radiology - Diagnostic Radiology in Campobello, SC

Active since August 03, 2006
225 STABLE GATE DR, CAMPOBELLO, SC 29322(864) 468-5570(864) 468-5239 Get Directions Write a Review

NPPES record last updated: December 21, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southeast Regional Virtual Imaging Consulting Enterprise Pa NPPES

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

SOUTHEAST REGIONAL VIRTUAL IMAGING CONSULTING ENTERPRISE PA (NPI 1205844586) is a healthcare organization registered as a diagnostic radiology in Campobello, South Carolina and active in the NPI registry since August 2006. The organization lists Stephen Jacob Gordin, President, as its authorized official.

NPPES Registry Identity

NPI1205844586
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameSOUTHEAST REGIONAL VIRTUAL IMAGING CONSULTING ENTERPRISE PA
Location Address225 STABLE GATE DRCampobello, SC 29322-8037
Mailing AddressPo Box 52990Greenwood, SC 29649-0048 · (864) 223-3600 · Fax (864) 223-6054
Phone(864) 468-5570
Fax(864) 468-5239
Organization SubpartNo
Authorized OfficialStephen Jacob GordinPresident · (864) 468-5238
Enumeration DateAugust 3, 2006
Last NPPES UpdateDecember 21, 2007
✔ NPI 1205844586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in SC · 16566
Definition

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

225 STABLE GATE DR, Campobello, SC 29322
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Other Identifiers 2

MedicaidGP4506SC
Medicare PIN8578SC

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

Other Providers at the Same Location NPPES

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

STEPHEN JACOB GORDIN MD
Radiology (Diagnostic Radiology)
225 STABLE GATE DR
CAMPOBELLO, SC 29322
Spartanburg County (864) 468-5570

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 Southeast Regional Virtual Imaging Consulting Enterprise PA's NPI number?

The NPI number for Southeast Regional Virtual Imaging Consulting Enterprise PA is 1205844586. It was assigned to this organization in the NPPES registry on August 3, 2006.

Where is Southeast Regional Virtual Imaging Consulting Enterprise PA located?

Southeast Regional Virtual Imaging Consulting Enterprise PA is located at 225 Stable Gate Dr, Campobello, SC 29322. The listed phone number is (864) 468-5570.

What is Southeast Regional Virtual Imaging Consulting Enterprise PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Southeast Regional Virtual Imaging Consulting Enterprise PA was last updated on December 21, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.