DIAGNOSTIC RADIOLOGY OF ANDERSON P.A. NPI 1922125269

NPI Information

NPI: 1922125269
Provider Name: DIAGNOSTIC RADIOLOGY OF ANDERSON, P.A.
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 42D2057294

Address:
800 N FANT ST
ANDERSON, SC
ZIP 29621
Phone: (864) 226-0511
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DIAGNOSTIC RADIOLOGY OF ANDERSON, P.A. is a diagnostic radiology radiology in Anderson, SC. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DIAGNOSTIC RADIOLOGY OF ANDERSON, P.A. NPI is 1922125269. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

800 N FANT ST
ANDERSON, SC
ZIP 29621-708
Phone: (864) 226-0511
Fax: (864) 231-7018

The provider's authorized official is Kyle Bryans .
The authorized official title is President and has the following contact phone number (864) 226-0511.

The CLIA number assigned to this NPI record is 42D2057294 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/23/2007 and was last updated on 10/17/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3030	MEDICARE PIN	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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