NPI: 1114985397 · MYRTLE BEACH, SC 29577 · Diagnostic Radiology Physician · NPI assigned 05/03/2006
| Authorized Official | SCHAEFER, DANIEL (COO) |
| NPI Enumeration Date | 05/03/2006 |
Other providers sharing the same authorized official: SCHAEFER, DANIEL
| Provider | City | State | Total Paid |
|---|---|---|---|
| FLORIDA DIAGNOSTIC IMAGING CENTER | NICEVILLE | FL | $33K |
| IMAGING CENTER AT GLOSTER CREEK VILLAGE PLLC | TUPELO | MS | $6K |
| PALMETTO IMAGING, INC | GREENVILLE | SC | $6K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14 | $283.19 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 72100 | 14 | 13 | $283.19 |