Organization Active NPI

Radiology Associates of South Carolina LLC

Doing business as Northern Light Radiology Associates

  • Diagnostic Radiology Physician
  • Greenville, SC
National Provider Identifier
1083491906
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
RADIOLOGY ASSOCIATES OF SOUTH CAROLINA LLC
Doing business as
Northern Light Radiology Associates
Practice address
1 Saint Francis Dr
Greenville, SC 29601-3955
Phone
(877) 224-8003
NPI assigned
Sep 13, 2023
Last updated
Oct 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Patrick Santore Jr.
Title
Vice President
Phone
(813) 924-1577

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary
Radiology Clinic/Center 261QR0200X NU

Addresses

Primary practice location

1 Saint Francis Dr
Greenville, SC 29601-3955

Mailing address

1895 Tyler St Ste 207
Hollywood, FL 33020-4828
Phone (877) 224-8003

Other practice location 1

125 Commonwealth Dr
Greenville, SC 29615-4812
Phone (747) 293-9005

Other practice location 2

1761 Beall Ave
Wooster, OH 44691-2342
Phone (747) 293-9005

Other practice location 3

904 Scioto St
Urbana, OH 43078-2226
Phone (747) 293-9005

Other practice location 4

1 Marcus Dr Ste 100
Greenville, SC 29615-4818
Phone (747) 293-9005

Other practice location 5

131 Commonwealth Dr Ste 220
Greenville, SC 29615-4887
Phone (747) 293-9005

Other practice location 6

3970 Grandview Dr Ste 1400
Simpsonville, SC 29680-3163
Phone (747) 293-9005

Other practice location 7

90 N 4th St
Martins Ferry, OH 43935-1648
Phone (747) 202-9238

Other practice location 8

104 Innovation Dr Fl 1
Greenville, SC 29607-5253
Phone (747) 293-9005

Other practice location 9

2 Innovation Dr Bldg 2
Greenville, SC 29607-5261
Phone (747) 293-9005

Other practice location 10

1050 Grove Rd
Greenville, SC 29605-4649
Phone (747) 293-9005

Other practice location 11

35 International Dr
Greenville, SC 29615-4816
Phone (747) 293-9005

Other practice location 12

309 W Butler Rd
Mauldin, SC 29662-2531
Phone (747) 293-9005

Other practice location 13

5 S Lewis Plz
Greenville, SC 29605-2944
Phone (747) 293-9005

Other practice location 14

1 Cannon Dr
Greenville, SC 29605-4201
Phone (747) 293-9005

Other names 1

  • Northern Light Radiology Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, FL, IL, NC, TX, KY, HI, GA, AZ, CO, NM, NY, OH, CA, MD, WI, PA, NJ, VA, MO, TN, WA, PR, MI, DC, NV, LA, MA, IN, VI, AL, IA, MN, RI, NH, WV36 enrollments

Enrollment records 36

Enrollment IDStateProvider typePAC IDDetails
O20231213002158 SC Part B Supplier - Clinic/Group Practice 3779932959 Receives reassigned benefits from 80 practitioners
Practice locations: Greenville, SC; Greer, SC; Hilton Head Island, SC; Johns Island, SC; Mauldin, SC; Mount Pleasant, SC; Salem, SC; Simpsonville, SC…
O20240104004758 FL Part B Supplier - Clinic/Group Practice 3779932959 Receives reassigned benefits from 35 practitioners
Practice locations: Tallahassee, FL; St Petersburg, FL; Sarasota, FL; Wellington, FL; Saint Petersburg, FL; Port St John, FL; Port Saint Lucie, FL; Ponte Vedra, FL…
O20240112003323 IL Part B Supplier - Clinic/Group Practice 3779932959 Receives reassigned benefits from 9 practitioners
Practice locations: Hinsdale, IL; Western Springs, IL; Rockford, IL; Oak Brook, IL; Northbrook, IL; Naperville, IL; Lisle, IL; Chicago, IL
O20240116002435 NC Part B Supplier - Clinic/Group Practice 3779932959 Receives reassigned benefits from 13 practitioners
Practice locations: Asheboro, NC; Winston Salem, NC; Weaverville, NC; Statesville, NC; Pinehurst, NC; Liberty, NC; Holden Beach, NC; Durham, NC…
O20240116003706 TX Part B Supplier - Clinic/Group Practice 3779932959 Receives reassigned benefits from 22 practitioners
Practice locations: Southlake, TX; Tomball, TX; The Hills, TX; Sugar Land, TX; Spring, TX; Roanoke, TX; Richardson, TX; Prosper, TX…
O20240118004506 KY Part B Supplier - Clinic/Group Practice 3779932959 Receives reassigned benefits from 4 practitioners
Practice locations: Bowling Green, KY; Philpot, KY; Paint Lick, KY; Louisville, KY
O20240122001457 HI Part B Supplier - Clinic/Group Practice 3779932959 Receives reassigned benefits from 1 practitioner
Practice locations: Haleiwa, HI
O20240214003811 GA Part B Supplier - Clinic/Group Practice 3779932959 Receives reassigned benefits from 18 practitioners
Practice locations: Statesboro, GA; Savannah, GA; Palmetto, GA; Marietta, GA; Greensboro, GA; Brookhaven, GA; Augusta, GA; Atlanta, GA…
O20240214004443 AZ Part B Supplier - Clinic/Group Practice 3779932959 Receives reassigned benefits from 9 practitioners
Practice locations: Surprise, AZ; Phoenix, AZ; Paradise Valley, AZ; Cave Creek, AZ
O20240218000049 CO Part B Supplier - Clinic/Group Practice 3779932959 Receives reassigned benefits from 10 practitioners
Practice locations: Grand Junction, CO; Vail, CO; Lakewood, CO; Lafayette, CO; Denver, CO; Colorado Springs, CO
O20240219000813 NM Part B Supplier - Clinic/Group Practice 3779932959 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM
O20240301000270 NY Part B Supplier - Clinic/Group Practice 3779932959 Receives reassigned benefits from 7 practitioners
Practice locations: North Tonawanda, NY; New York, NY; Dunkirk, NY; Clayton, NY; Brooklyn, NY; Millerton, NY
O20240322000350 OH Part B Supplier - Clinic/Group Practice 3779932959 Receives reassigned benefits from 24 practitioners
Practice locations: Martins Ferry, OH; New Paris, OH; North Ridgeville, OH; Pepper Pike, OH; Rock Creek, OH; Springfield, OH; Urbana, OH; Westlake, OH…
O20240530001526 CA Part B Supplier - Clinic/Group Practice 3779932959 Receives reassigned benefits from 25 practitioners
Practice locations: Placentia, CA; Rancho Cucamonga, CA; Roseville, CA; San Clemente, CA; San Diego, CA; Santa Barbara, CA; Sherman Oaks, CA; Valley Village, CA…
O20240531001562 MD Part B Supplier - Clinic/Group Practice 3779932959 Receives reassigned benefits from 2 practitioners
Practice locations: Ellicott City, MD; Laurel, MD
O20240614003013 WI Part B Supplier - Clinic/Group Practice 3779932959 Receives reassigned benefits from 4 practitioners
Practice locations: Elkhart Lake, WI; Madison, WI; Springbrook, WI; Wauwatosa, WI
O20240716001609 PA Part B Supplier - Clinic/Group Practice 3779932959 Receives reassigned benefits from 16 practitioners
Practice locations: Windber, PA; Williamsport, PA; Sewickley, PA; Presto, PA; Pittsburgh, PA; Philadelphia, PA; MC Murray, PA; Johnstown, PA…
O20240822000012 NJ Part B Supplier - Clinic/Group Practice 3779932959 Receives reassigned benefits from 2 practitioners
Practice locations: North Bergen, NJ; Jersey City, NJ
O20240822001670 VA Part B Supplier - Clinic/Group Practice 3779932959 Receives reassigned benefits from 4 practitioners
Practice locations: Aldie, VA; Henrico, VA; Norfolk, VA; Virginia Beach, VA
O20240913001207 MO Part B Supplier - Clinic/Group Practice 3779932959 Receives reassigned benefits from 3 practitioners
Practice locations: Cape Girardeau, MO; Kansas City, MO; Parkville, MO; Saint Louis, MO
O20240918000445 TN Part B Supplier - Clinic/Group Practice 3779932959 Receives reassigned benefits from 3 practitioners
Practice locations: Knoxville, TN; Lenoir City, TN; Louisville, TN; Nashville, TN
O20241010003415 WA Part B Supplier - Clinic/Group Practice 3779932959 Receives reassigned benefits from 1 practitioner
Practice locations: Moses Lake, WA; Richland, WA
O20241014003765 PR Part B Supplier - Clinic/Group Practice 3779932959 Receives reassigned benefits from 4 practitioners
Practice locations: Bayamon, PR; San Juan, PR
O20241112000464 MI Part B Supplier - Clinic/Group Practice 3779932959 Receives reassigned benefits from 9 practitioners
Practice locations: Ann Arbor, MI; Bloomfield Hills, MI; Detroit, MI; Grand Rapids, MI; Kalamazoo, MI; Macomb, MI; Oakland, MI; Saginaw, MI
O20241205003114 DC Part B Supplier - Clinic/Group Practice 3779932959 Receives reassigned benefits from 1 practitioner
Practice locations: Alexandria, VA
O20241227002621 NV Part B Supplier - Clinic/Group Practice 3779932959 Receives reassigned benefits from 5 practitioners
Practice locations: Henderson, NV; Las Vegas, NV
O20250107002505 LA Part B Supplier - Clinic/Group Practice 3779932959 Receives reassigned benefits from 1 practitioner
Practice locations: Metairie, LA
O20250305001299 MA Part B Supplier - Clinic/Group Practice 3779932959 Receives reassigned benefits from 2 practitioners
Practice locations: Concord, MA; Richmond, MA
O20250306002856 IN Part B Supplier - Clinic/Group Practice 3779932959 Receives reassigned benefits from 1 practitioner
Practice locations: Indianapolis, IN
O20250324003385 VI Part B Supplier - Clinic/Group Practice 3779932959 Receives reassigned benefits from 2 practitioners
Practice locations: Christiansted, VI
O20250512000295 AL Part B Supplier - Clinic/Group Practice 3779932959 Receives reassigned benefits from 4 practitioners
Practice locations: Birmingham, AL; Florence, AL; Owens Cross Roads, AL
O20250617001441 IA Part B Supplier - Clinic/Group Practice 3779932959 Receives reassigned benefits from 2 practitioners
Practice locations: Cedar Falls, IA; Iowa City, IA
O20250617003625 MN Part B Supplier - Clinic/Group Practice 3779932959 Receives reassigned benefits from 1 practitioner
Practice locations: Byron, MN
O20250716000895 RI Part B Supplier - Clinic/Group Practice 3779932959 Receives reassigned benefits from 1 practitioner
Practice locations: East Greenwich, RI
O20251201002044 NH Part B Supplier - Clinic/Group Practice 3779932959 Receives reassigned benefits from 1 practitioner
Practice locations: Bow, NH
O20260415001068 WV Part B Supplier - Clinic/Group Practice 3779932959 Receives reassigned benefits from 1 practitioner
Practice locations: Charleston, WV

National Provider Directory

National Provider Directory

Locations

4301 S Flamingo Rd
Ste 105
Davie, FL 33330

1604 S Ridgewood Ave
Edgewater, FL 32132
Phone (386) 402-7589

1 Marcus Dr
Ste 100
Greenville, SC 29615
Phone (864) 751-2051

104 Innovation Dr
Fl 1
Greenville, SC 29607
Phone (864) 603-6200

2 Innovation Dr
Bldg 2
Greenville, SC 29607
Phone (864) 235-7665

35 International Dr
Greenville, SC 29615
Phone (864) 242-5020

3970 Grandview Dr
Ste 1400
Simpsonville, SC 29680
Phone (864) 234-9900

Practitioners & affiliated clinicians

Practitioners 266

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 266

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1083491906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 TYLER ST STE 207",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204828",
            "telephone_number": "877-224-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SAINT FRANCIS DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296013955",
            "telephone_number": "877-224-8003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Commonwealth Dr",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296154812",
            "country_code": "US",
            "telephone_number": "747-293-9005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1761 Beall Ave",
            "address_purpose": "LOCATION",
            "city": "Wooster",
            "state": "OH",
            "postal_code": "446912342",
            "country_code": "US",
            "telephone_number": "747-293-9005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "904 Scioto St",
            "address_purpose": "LOCATION",
            "city": "Urbana",
            "state": "OH",
            "postal_code": "430782226",
            "country_code": "US",
            "telephone_number": "747-293-9005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Marcus Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296154818",
            "country_code": "US",
            "telephone_number": "747-293-9005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "131 Commonwealth Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296154887",
            "country_code": "US",
            "telephone_number": "747-293-9005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3970 Grandview Dr Ste 1400",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "SC",
            "postal_code": "296803163",
            "country_code": "US",
            "telephone_number": "747-293-9005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "90 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Martins Ferry",
            "state": "OH",
            "postal_code": "439351648",
            "country_code": "US",
            "telephone_number": "747-202-9238",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Innovation Dr Fl 1",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296075253",
            "country_code": "US",
            "telephone_number": "747-293-9005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Innovation Dr Bldg 2",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296075261",
            "country_code": "US",
            "telephone_number": "747-293-9005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054649",
            "country_code": "US",
            "telephone_number": "747-293-9005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 International Dr",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296154816",
            "country_code": "US",
            "telephone_number": "747-293-9005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "309 W Butler Rd",
            "address_purpose": "LOCATION",
            "city": "Mauldin",
            "state": "SC",
            "postal_code": "296622531",
            "country_code": "US",
            "telephone_number": "747-293-9005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 S Lewis Plz",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296052944",
            "country_code": "US",
            "telephone_number": "747-293-9005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Cannon Dr",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054201",
            "country_code": "US",
            "telephone_number": "747-293-9005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RADIOLOGY ASSOCIATES OF SOUTH CAROLINA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-13",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "SANTORE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "813-924-1577",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Light Radiology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.