SOURCE DIAGNOSTICS OF SOUTH CAROLINA, LLC
NPI 1245590140
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in North Myrtle Beach, SC

Active since May 24, 2012
2701 S OCEAN BLVD, UNIT 1831, NORTH MYRTLE BEACH, SC 29582(440) 645-7822 Get Directions Write a Review

NPPES record last updated: May 24, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Source Diagnostics Of South Carolina, Llc NPPES

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

SOURCE DIAGNOSTICS OF SOUTH CAROLINA, LLC (NPI 1245590140) is a healthcare organization registered as a portable x-ray and/or other portable diagnostic imaging supplier in North Myrtle Beach, South Carolina and active in the NPI registry since May 2012. The organization lists Kathleen A Barry, Coo, as its authorized official.

NPPES Registry Identity

NPI1245590140
Entity TypeOrganization
Primary Taxonomy335V00000X
Legal Business NameSOURCE DIAGNOSTICS OF SOUTH CAROLINA, LLC
Location Address2701 S OCEAN BLVD, UNIT 1831North Myrtle Beach, SC 29582-4641
Mailing Address5275 Naiman Pkwy, Suite ESolon, OH 44139-1029 · (440) 645-7822
Organization SubpartNo
Authorized OfficialKathleen A BarryCoo · (440) 645-7822
Enumeration DateMay 24, 2012
NPI 1245590140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code335V00000X
Definition
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.
2701 S OCEAN BLVD, North Myrtle Beach, SC 29582

Other Providers at the Same Location NPPES

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

In Home Supportive Care
2701 S OCEAN BLVD, UNIT 1534
NORTH MYRTLE BEACH, SC 29582

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 Source Diagnostics Of South Carolina, LLC's NPI number?

The NPI number for Source Diagnostics Of South Carolina, LLC is 1245590140. It was assigned to this organization in the NPPES registry on May 24, 2012.

Where is Source Diagnostics Of South Carolina, LLC located?

Source Diagnostics Of South Carolina, LLC is located at 2701 S Ocean Blvd Unit 1831, North Myrtle Beach, SC 29582. The listed phone number is (440) 645-7822.

What is Source Diagnostics Of South Carolina, LLC's specialty?

The primary specialty registered for this NPI is Portable X-ray and/or Other Portable Diagnostic Imaging Supplier with taxonomy code 335V00000X.

When was this NPI record last updated?

The NPPES record for Source Diagnostics Of South Carolina, LLC was last updated on May 24, 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.