MEDICARE: AMERICAN HEALTH IMAGING OF SOUTH CAROLINA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0200X	Radiology Clinic/Center

General Provider Information

NPI Number	:	1710565346
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN HEALTH IMAGING OF SOUTH CAROLINA LLC

Provider Business Mailing Address
First Line	:	PO BOX 745973
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-5973
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1245 LAKE MURRAY BLVD STE B
Second Line	:
City	:	IRMO
State	:	SC
Zip	:	29063-2826
Country	:	US
Telephone Number	:	803-766-3005
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF CREDENTIALING
Name	:	KATRINA ROELLE
Credential	:
Telephone Number	:	614-689-1691

Provider Enumeration Date	:	04/02/2021
Last Update Date	:	07/19/2024

Similar Medicare Providers

1275769572 — HOME FURNITURE & APPLIANCE INC
Practice Location Address:

1201 LAKE MURRAY BLVD
IRMO, SC
29063-2826

Practice Phone: 803-781-2925
Practice Fax: 803-749-1229

1225917719 — EXTENSIONS & HAIR BOUDOIR
Practice Location Address:

7705 SAINT ANDREWS RD BLDG B
IRMO, SC
29063-2835

Practice Phone: 803-445-6931
Practice Fax:

1609005586 — MR. JAMIE F RICE
Practice Location Address:

303 MISTY GLEN CIR
IRMO, SC
29063-8957

Practice Phone: 803-446-5972
Practice Fax:

1205534393 — MY PURPOSE COUNSELING, LLC
Practice Location Address:

1180 COLUMBIA AVE STE 101
IRMO, SC
29063-2890

Practice Phone: 803-274-1268
Practice Fax:

1194010769 — JANEEN JENSEN WOOD NP-C
Practice Location Address:

1008 LAKE MURRAY BLVD
IRMO, SC
29063-2821

Practice Phone: 803-749-3840
Practice Fax:

1457218323 — LINTON COUNSELING, LLC
Practice Location Address:

6 AVONWOOD CT
IRMO, SC
29063-8264

Practice Phone: 803-457-6923
Practice Fax: 803-457-6923

Directions to “AMERICAN HEALTH IMAGING OF SOUTH CAROLINA LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.