PALMETTO PREVENTIVE NPI 1285547455

NPI Information

  • NPI: 1285547455
  • Provider Name: PALMETTO PREVENTIVE
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • :
  • Address: 29 LEINBACH DR STE B1
    CHARLESTON, SC
    ZIP 29407
  • Phone: (854) 238-3438

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NPI Details

PALMETTO PREVENTIVE is a diagnostic radiology radiology in Charleston, SC. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PALMETTO PREVENTIVE NPI is 1285547455. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

29 LEINBACH DR STE B1
CHARLESTON, SC
ZIP 29407-088
Phone: (854) 238-3438

The provider's authorized official is Leisa Stafford .
The authorized official title is Practice Administrator. and has the following contact phone number (854) 238-3438.

The enumeration date for this NPI number is 9/28/2026 and was last updated on 9/28/2026.

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
12085R0202XRadiologyDiagnostic RadiologyYes

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: 11/21/2025

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