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

Q: 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.

Q: 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.

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: August 16, 2026.

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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 16

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

MS. ROBYN DYSON STEPHENSON

Physical Therapy Assistant

258 N RON MCNAIR BLVD
LAKE CITY, SC 29560

Florence County (843) 374-6198

DAVID JACKSON JR. PTA

Physical Therapy Assistant

258 N RON MCNAIR BLVD
LAKE CITY, SC 29560

Florence County (843) 374-6198

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

MCKENZIE ANESTHESIA CARE LLC

Nurse Anesthetist, Certified Registered

258 N RON MCNAIR BLVD, DEPT OF ANES
LAKE CITY, SC 29560

Florence County (843) 374-2036

MRS. KAYLA BISHOP CRIBB PT, DPT, OMT-C

Physical Therapist

258 N RON MCNAIR BLVD
LAKE CITY, SC 29560

Florence County (843) 374-6198

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

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.