LAKE CITY - KINGSTREE RADIOLOGY, PC
NPI 1760530208
Radiology - Diagnostic Radiology in Lake City, SC

NPI Status: Active since January 08, 2007

Contact Information

258 N RON MCNAIR BLVD
LAKE CITY, SC
ZIP 29560
Phone: (843) 374-6171
Fax: (843) 374-6133

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  • Organization
  • Radiology
  • Diagnostic Radiology

About LAKE CITY - KINGSTREE RADIOLOGY, PC

This page provides the complete NPI Profile along with additional information for Lake City - Kingstree Radiology, Pc, a provider established in Lake City, South Carolina operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1760530208 assigned on January 2007. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Bert L Booker Md (President)

NPI
1760530208
Provider Name
LAKE CITY - KINGSTREE RADIOLOGY, PC
Entity Type
Organization
Location Address
258 N RON MCNAIR BLVD LAKE CITY, SC 29560
Location Phone
(843) 374-6171
Location Fax
(843) 374-6133
Mailing Address
3328 GUESS RD SUITE 2A DURHAM, NC 27705
Mailing Phone
(919) 620-5700
Mailing Fax
(843) 374-6133
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-08-2007
Last Update Date
10-23-2007
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. BERT L BOOKER MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(843) 374-6171

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
A4139OTHER (01)SCRAIL ROAD MEDICARE
GP3037MEDICAID (05)SC 
6848MEDICARE PIN (08)SC 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1760530208, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 42. The final step is to find the difference between that total and the next multiple of ten (50 - 42 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
0
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
2
Unchanged
Pos 9
0
Doubled → 0
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 5 → 10 → 1 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 2 + 0 + 1 + 0 + 3 + 0 + 2 + 0 + 24 = 42

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 42 is 50. The difference is the calculated check digit.

50 - 42 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1760530208.

Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

General Acute Care Hospital
258 N RON MCNAIR BLVD
LAKE CITY, SC 29560
Family Medicine
258 N RON MCNAIR BLVD
LAKE CITY, SC 29560
Medicare Defined Swing Bed Unit
258 N RON MCNAIR BLVD
LAKE CITY, SC 29560
Durable Medical Equipment & Medical Supplies
258 N RON MCNAIR BLVD
LAKE CITY, SC 29560
Physical Therapy Assistant
258 N RON MCNAIR BLVD
LAKE CITY, SC 29560
Occupational Therapist
258 N RON MCNAIR BLVD
LAKE CITY, SC 29560
Physical Therapist
258 N RON MCNAIR BLVD
LAKE CITY, SC 29560
Physical Therapist
258 N RON MCNAIR BLVD
LAKE CITY, SC 29560
Physical Therapy Assistant
258 N RON MCNAIR BLVD
LAKE CITY, SC 29560
Speech-Language Pathologist
258 N RON MCNAIR BLVD
LAKE CITY, SC 29560
Occupational Therapy Assistant
258 N RON MCNAIR BLVD
LAKE CITY, SC 29560
Physical Therapy Assistant
258 N RON MCNAIR BLVD
LAKE CITY, SC 29560
Nurse Anesthetist, Certified Registered
258 N RON MCNAIR BLVD, DEPT OF ANES
LAKE CITY, SC 29560
Nurse Practitioner (Family)
258 N RON MCNAIR BLVD
LAKE CITY, SC 29560
Physical Therapist
258 N RON MCNAIR BLVD
LAKE CITY, SC 29560
Nurse Practitioner (Family)
258 N RON MCNAIR BLVD
LAKE CITY, SC 29560
General Acute Care Hospital
258 N RON MCNAIR BLVD
LAKE CITY, SC 29560

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760530208, enumerated as an "organization" on January 08, 2007.

The provider is located at 258 N RON MCNAIR BLVD LAKE CITY, SC 29560 and the phone number is (843) 374-6171.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.