Southeast Regional Virtual Imaging Consulting Enterprise Pa in Campobello - Diagnostic Radiology
Southeast Regional Virtual Imaging Consulting Enterprise Pa - NPI 1205844586
Southeast Regional Virtual Imaging Consulting Enterprise Pa is a Diagnostic Radiology in Campobello, South Carolina. Southeast Regional Virtual Imaging Consulting Enterprise Pa practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Southeast Regional Virtual Imaging Consulting Enterprise Pa is 1205844586. The last update date is 2007-12-21.
Southeast Regional Virtual Imaging Consulting Enterprise Pa's current location address is 225 Stable Gate Dr, Campobello, South Carolina. You can contact this provider via phone number 8644685570 and fax number 8644685239. The mailing address for Southeast Regional Virtual Imaging Consulting Enterprise Pa is 225 Stable Gate Dr, Campobello, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeast Regional Virtual Imaging Consulting Enterprise Pa |
|---|---|
| Address | 225 Stable Gate Dr, Campobello, South Carolina |
| Phone Number | 8644685570 |
| Fax Number | 8644685239 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Gordin Jacob Stephen |
| Credentials | M.D. |
| Telephone Number | 8644685238 |
NPI Number Detail
| NPI Number | 1205844586 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2007-12-21 |
Provider Mailing Address Detail
| Address | 225 Stable Gate Dr |
|---|---|
| City | Campobello |
| State | South Carolina (SC) |
| Post Code | 293228037 |
| Phone Number | 8644685570 |
| Fax Number | 8644685239 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 16566 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GP4506 | SC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Southeast Regional Virtual Imaging Consulting Enterprise Pa by the Centers for Medicare & Medicaid Services?
The Southeast Regional Virtual Imaging Consulting Enterprise Pa has been issued the NPI (National Provider Identifier) 1205844586 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Southeast Regional Virtual Imaging Consulting Enterprise Pa located?
The Southeast Regional Virtual Imaging Consulting Enterprise Pa is located at 225 Stable Gate Dr, Campobello, SC 293228037.
What is the Southeast Regional Virtual Imaging Consulting Enterprise Pa's area of specialization and corresponding taxonomy classification?
The Southeast Regional Virtual Imaging Consulting Enterprise Pa's specialty field is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1205844586 to Southeast Regional Virtual Imaging Consulting Enterprise Pa?
The Centers for Medicare & Medicaid Services originally issued the 1205844586 to Southeast Regional Virtual Imaging Consulting Enterprise Pa on 2006-08-03.
When was the information regarding Southeast Regional Virtual Imaging Consulting Enterprise Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Southeast Regional Virtual Imaging Consulting Enterprise Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-12-21.
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