Active NPI
Sumter Radiological,PA
- Diagnostic Radiology Physician
- Sumter, SC
National Provider Identifier
1225061823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 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 DirectoryLocations
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.