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Contact Information

PELICAN II, LLC
1241 WOODLAND AVENUE
MOUNT PLEASANT, SC29464
 Phone: 843-824-0606
 Fax: 843-824-0909
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Body Imaging

2085B0100X
 

Diagnostic Ultrasound

2085U0001X
 

Neuroradiology

2085N0700X
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for PELICAN II, LLC

NPI Number 1871681445
LBN Legal business name PELICAN II, LLC
Authorized official LAURA HUDSON - (CREDENTIALING COORDINATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/10/2006
Last updated 01/14/2014 - About 12 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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