LAKE CITY DIAGNOSTIC IMAGING, INC. (NPI# 1386957942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386957942 |
Entity Type | Organization |
Organization Name | LAKE CITY DIAGNOSTIC IMAGING, INC. |
Other Organization Name | LAKE CITY DIAGNOSTIC IMAGING |
Practice Address |
148 Sauls St Lake City SC 29560-2631 |
Mailing Address |
23 Main St Suite 103 Hilton Head SC 29926-6606 |
Practice Telephone | 8433740450 |
Practice Fax Number | 8433740451 |
Mailing Telephone | 8433422400 |
Mailing Fax Number | 8433425898 |
Enumeration Date | 2010-07-23 |
Last Update Date | 2010-09-02 |
Authorized Official Name | MR. MURAT CAGLAYAN (PRESIDENT) |
Authorized Official Telephone | 8433422400 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
LAKE CITY DIAGNOSTIC IMAGING | Doing Business As Name - Organization |
Street Address |
148 SAULS ST |
City | LAKE CITY |
State | SC |
Zip Code | 29560-2631 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497715148 | Maud N Mmbo-keith | Occupational Therapist | 148 Sauls St, Ste B, Lake City, SC 29560-2631 | 2006-03-26 |
1114467586 | Carolinas Medical Alliance Inc | Radiology | 148 Sauls St, Suite F, Lake City, SC 29560-2677 | 2017-03-03 |
1417354606 | Carolinas Medical Alliance Inc | Family Medicine | 148 Sauls St, Lake City, SC 29560-2631 | 2014-12-03 |
1033534151 | Diana Lee Collins | Nurse Practitioner | 148 Sauls St, Lake City, SC 29560-2677 | 2014-02-26 |
1598199622 | Alice Washington Peterson | Massage Therapist | 148 Sauls St, Lake City, SC 29560-2631 | 2013-08-26 |
1487942157 | Live Oak Medical Center | Non-Pharmacy Dispensing Site | 148 Sauls St, Lake City, SC 29560-2631 | 2011-07-15 |
1255630174 | Palmetto Primary Care Physicians | Family Medicine | 148 Sauls St, Lake City, SC 29560-2631 | 2011-03-17 |
1104145697 | Ih3 Physcial Therapy | Clinic/Center | 148 Sauls St, Lake City, SC 29560-2631 | 2010-05-23 |
1144314394 | Ernest M Atkinson | Family Medicine | 148 Sauls St, Lake City, SC 29560-2631 | 2006-10-03 |
1003912775 | Benjamin Wade Lamb | Family Medicine | 148 Sauls St, Lake City, SC 29560-2631 | 2006-09-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457830366 | Patty Fulmore | In Home Supportive Care | 141 Bulldog Lane, Lake City, SC 29560 | 2018-08-10 |
1558875211 | Msk Transportation | Non-emergency Medical Transport (VAN) | 226 Lake Dale Ave, Lake City, SC 29560 | 2017-11-16 |
1861867566 | Denita Alison Pleasant | Pharmacist | 301 West Thomas Street, Lake City, SC 29560 | 2015-12-07 |
1821474115 | Pro-motion Physical Therapy of Florence, Sc, LLC | Occupational Therapist | 148 B Sauls Street, Lake City, SC 29560 | 2015-08-10 |
1023412335 | Motivations-unlimited | Speech-Language Pathologist | 318 A Moore Street, Lake City, SC 29560 | 2014-10-15 |
1700297652 | Sharon Lewis | Pharmacist | 900 Us Highway 52, Lake City, SC 29560 | 2014-05-14 |
1376954305 | Sergio Montes | Pharmacist | 900 Us Hwy 52, Lake City, SC 29560 | 2014-05-13 |
1992122857 | Paula Moses | Pharmacist | 900 U.s Hwy. 52, Lake City, SC 29560 | 2014-03-27 |
1063762763 | Dawn Mcelveen Floyd | Pharmacist | 301 W Thomas Street, Lake City, SC 29560 | 2012-09-11 |
1548519507 | Robert Bruce Page | Pharmacist | 401 West Thomas St, Lake City, SC 29560 | 2012-09-06 |
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Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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1205327939 | Neurology Center of North Florida, LLC | Clinic/Center | 426 Sw Commerce Dr Ste 101, Lake City, FL 32025-1506 | 2018-05-30 |
1568966414 | Serenity Alternative Healthcare & Acupuncture Center | Clinic/Center | 1009 Sw Main Blvd Ste 110, Lake City, FL 32025-5784 | 2018-03-23 |
1194900936 | Valkos Chiropractic Office, LLC | Clinic/Center | 106 S Washington St, Lake City, MN 55041-1034 | 2007-12-28 |
1730275538 | Shands At Lake Shore Inc | Clinic/Center | 368 Ne Franklin St, Lake City, FL 32055-3088 | 2006-10-05 |
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1861037574 | Senior Centers of Cherokee County | Clinic/Center | 499 W Rutledge Ave, Gaffney, SC 29341-1639 | 2019-11-18 |
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1023677945 | Healogics Specialty Physicians of South Carolina, LLC | Clinic/Center | 1630 Skylyn Drive, Suite 420, Spartanburg, SC 29307 | 2019-06-13 |
1285290270 | Caresouth Carolina, Inc. | Clinic/Center | 810 Brown St Ste 1, Bishopville, SC 29010-1176 | 2019-05-15 |
1750865622 | Merge Medical Analytics | Clinic/Center | 180 Wingo Way Ste 106, Mount Pleasant, SC 29464-1810 | 2018-09-18 |
1245718444 | Rapha Wells Primary Health Care | Clinic/Center | 1013 Kincaid Bridge Rd, Winnsboro, SC 29180-7113 | 2018-07-31 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.