Organization Active NPI

Sumter Radiological,PA

  • Diagnostic Radiology Physician
  • Sumter, SC
National Provider Identifier
1225061823
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SUMTER RADIOLOGICAL,PA
Practice address
129 N Washington St
Sumter, SC 29150-4949
Phone
(803) 772-9190
Fax
(803) 774-1704
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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

Authorized official

Name
Timothy L Pannell
Title
President
Phone
(803) 236-6207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

129 N Washington St
Sumter, SC 29150-4949

Mailing address

PO Box 10525
Peoria, IL 61612-0525
Phone (800) 843-1822

National Provider Directory

National Provider Directory

Locations

260 W Wesmark Blvd
Sumter, SC 29150
Phone (803) 774-5250

3440 Declaration Blvd
Sumter, SC 29154
Phone (803) 905-3278

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552435200000",
    "number": "1225061823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10525",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616120525",
            "telephone_number": "800-843-1822",
            "fax_number": "866-429-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N WASHINGTON ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504949",
            "telephone_number": "803-772-9190",
            "fax_number": "803-774-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMTER RADIOLOGICAL,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2019-03-13",
        "status": "A",
        "authorized_official_last_name": "PANNELL",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-236-6207"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.