Lake City - Kingstree Radiology, Pc in Durham - Diagnostic Radiology

Lake City - Kingstree Radiology, Pc - NPI 1760530208

Lake City - Kingstree Radiology, Pc is a Diagnostic Radiology in Durham, North Carolina. Lake City - Kingstree Radiology, Pc practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Lake City - Kingstree Radiology, Pc is 1760530208. The last update date is 2007-10-23.

Lake City - Kingstree Radiology, Pc's current location address is 3328 Guess Rd, Durham, North Carolina. You can contact this provider via phone number 9196205700 and fax number 9196203632. The mailing address for Lake City - Kingstree Radiology, Pc is 3328 Guess Rd, Durham, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lake City - Kingstree Radiology, Pc
Address 3328 Guess Rd, Durham, North Carolina
Phone Number 9196205700
Fax Number 9196203632
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Booker L Bert
Credentials MD
Telephone Number 8433746171

NPI Number Detail

NPI Number 1760530208
Provider Enumeration Date 2007-01-08
Last Updated Date 2007-10-23

Provider Mailing Address Detail

Address 3328 Guess Rd
City Durham
State North Carolina (NC)
Post Code 277052158
Phone Number 9196205700
Fax Number 9196203632

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
A4139 SC RAIL ROAD MEDICARE
GP3037 SC --

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FAQs about Lake City - Kingstree Radiology, Pc

What is the Lake City - Kingstree Radiology, Pc's unique identification number?

The Lake City - Kingstree Radiology, Pc has been assigned the NPI (National Provider Identifier) Number 1760530208 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Lake City - Kingstree Radiology, Pc?

The Lake City - Kingstree Radiology, Pc is physically situated at 3328 Guess Rd, in the city of Durham, state of NC, with the postal code 277052158.

What is Lake City - Kingstree Radiology, Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Lake City - Kingstree Radiology, Pc is Diagnostic Radiology, and the taxonomy code that classifies this field of practice is 2085R0202X.

When did the Lake City - Kingstree Radiology, Pc receive its 1760530208?

The Lake City - Kingstree Radiology, Pc was issued its 1760530208 on 2007-01-08, which is the date when the organization was assigned this unique identifier.

As of what date were the details pertaining to Lake City - Kingstree Radiology, Pc last refreshed?

The information related to the Lake City - Kingstree Radiology, Pc, including its address, specialty, and other relevant details, was last updated on 2007-10-23.

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