Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake City - Kingstree Radiology, PC

Organization Diagnostic Radiology Physician · NPI 1760530208

Lake City - Kingstree Radiology, PC is a Diagnostic Radiology Physician in Lake City, South Carolina. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

258 N Ron McNair Blvd
Lake City, SC 29560-2462
Phone: (843) 374-6171
Fax: (843) 374-6133
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1760530208
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bert Booker — President · (843) 374-6171
NPI enumeratedJanuary 8, 2007
Last updated in NPPESOctober 23, 2007
Mailing address3328 Guess Rd, Suite 2a, Durham, NC 27705-2158