South County Diagnostic Services, LLC
NPI 1871040436 · Diagnostic Radiology Physician · San Luis, AZ
Enrolled with Medicare as Part B Supplier - Independent Diagnostic Testing Facility (idtf) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South County Diagnostic Services, LLC is a Diagnostic Radiology Physician organization in San Luis, AZ (NPI 1871040436).
Provider details
- NPI number
- 1871040436
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marisol Penuelas, Clinical Operations Director(928) 315-7910
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-09-01
- Last updated
- 2026-03-11
- Certified
- 2026-03-11
Frequently asked questions
- What is South County Diagnostic Services, LLC's NPI number?
- South County Diagnostic Services, LLC's National Provider Identifier (NPI) is 1871040436, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South County Diagnostic Services, LLC?
- South County Diagnostic Services, LLC is classified in the NPPES registry as Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is South County Diagnostic Services, LLC located?
- South County Diagnostic Services, LLC's practice location on file with NPPES is 1233 N Main St Ste 1b, San Luis, AZ 85336-0663.
- What is South County Diagnostic Services, LLC's phone number?
- The practice phone number listed in the NPPES registry for South County Diagnostic Services, LLC is (928) 550-5103.
- Does South County Diagnostic Services, LLC accept Medicare?
- South County Diagnostic Services, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for South County Diagnostic Services, LLC?
- The authorized official listed on South County Diagnostic Services, LLC's NPPES record is Marisol Penuelas, Clinical Operations Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South County Diagnostic Services, LLC's NPI active?
- Yes — South County Diagnostic Services, LLC's NPI (1871040436) is active in the NPPES registry as of the last update on 2026-03-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.