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

Active since January 08, 2007
258 N RON MCNAIR BLVD, LAKE CITY, SC 29560(843) 374-6171(843) 374-6133 Get Directions Write a Review

NPPES record last updated: October 23, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lake City - Kingstree Radiology, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE CITY - KINGSTREE RADIOLOGY, PC (NPI 1760530208) is a healthcare organization registered as a diagnostic radiology in Lake City, South Carolina and active in the NPI registry since January 2007. The organization lists Bert L Booker, President, as its authorized official.

NPPES Registry Identity

NPI1760530208
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameLAKE CITY - KINGSTREE RADIOLOGY, PC
Location Address258 N RON MCNAIR BLVDLake City, SC 29560-2462
Mailing Address3328 Guess Rd, Suite 2aDurham, NC 27705-2158 · (919) 620-5700 · Fax (919) 620-3632
Phone(843) 374-6171
Fax(843) 374-6133
Organization SubpartNo
Authorized OfficialBert L BookerPresident · (843) 374-6171
Enumeration DateJanuary 8, 2007
Last NPPES UpdateOctober 23, 2007
✔ NPI 1760530208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

258 N RON MCNAIR BLVD, Lake City, SC 29560
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Other Identifiers 3

OtherA4139SC · Rail Road Medicare
MedicaidGP3037SC
Medicare PIN6848SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LOWER FLORENCE COUNTY HOSPITAL
General Acute Care Hospital
258 N RON MCNAIR BLVD
LAKE CITY, SC 29560
Florence County (843) 374-6415
DR. JAMES J THOMY M.D.
Family Medicine
258 N RON MCNAIR BLVD
LAKE CITY, SC 29560
Florence County (843) 374-2036
LOWER FLORENCE COUNTY HOSPITAL
Medicare Defined Swing Bed Unit
258 N RON MCNAIR BLVD
LAKE CITY, SC 29560
Florence County (843) 374-2036
LOWER FLORENCE COUNTY HOSPITAL
Durable Medical Equipment & Medical Supplies
258 N RON MCNAIR BLVD
LAKE CITY, SC 29560
Florence County (843) 374-8380
MRS. CHRISTINA LYNN CARTER PTA
Physical Therapy Assistant
258 N RON MCNAIR BLVD
LAKE CITY, SC 29560
Florence County (843) 374-6198
DINA J CALDWELL OTR/L
Occupational Therapist
258 N RON MCNAIR BLVD
LAKE CITY, SC 29560
Florence County (843) 374-6198
MRS. GITHA SINGH PT
Physical Therapist
258 N RON MCNAIR BLVD
LAKE CITY, SC 29560
Florence County (843) 374-6198
LIDIA M BURROUGHS PT
Physical Therapist
258 N RON MCNAIR BLVD
LAKE CITY, SC 29560
Florence County (843) 374-6198

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake City - Kingstree Radiology, PC's NPI number?

The NPI number for Lake City - Kingstree Radiology, PC is 1760530208. It was assigned to this organization in the NPPES registry on January 8, 2007.

Where is Lake City - Kingstree Radiology, PC located?

Lake City - Kingstree Radiology, PC is located at 258 N Ron Mcnair Blvd, Lake City, SC 29560. The listed phone number is (843) 374-6171.

What is Lake City - Kingstree Radiology, PC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Lake City - Kingstree Radiology, PC was last updated on October 23, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.