Lake City - Kingstree Radiology, Pc
LBN: Lake City - Kingstree Radiology, Pc
Lake City - Kingstree Radiology, Pc is an health care organization with primary practice located at 258 N Ron Mcnair Blvd , Lake City SC 29560-2462. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty.
Lake City - Kingstree Radiology, Pc can be contacted via phone (843) 374-6171, or through Booker, Bert L via phone (843) 374-6171.
Contact Information
Primary practice address
258 N Ron Mcnair Blvd
Lake City SC 29560-2462
Phone: (843) 374-6171
Fax: (843) 374-6133
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X |
Profile Details
| NPI number | 1760530208 |
|---|---|
| LBN Legal business name | Lake City - Kingstree Radiology, Pc |
| DBA Doing business as | |
| Authorized official | Booker, Bert L Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Oct 23rd, 2007 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760530208 | NPPES |
| South Carolina | Other | A4139 | RAIL ROAD MEDICARE |
| South Carolina | MEDICAID | GP3037 | RAIL ROAD MEDICARE |
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