NPIMap

Organization Active NPI

Lexington Radiology Associates, P.a.

  • Diagnostic Radiology Physician
  • West Columbia, SC
National Provider Identifier
1699701284
Registry record updated Apr 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
LEXINGTON RADIOLOGY ASSOCIATES, P.A.
Practice address
2720 Sunset Blvd
Radiology Department
West Columbia, SC 29169-4810
Phone
(803) 791-2365
Fax
(803) 791-2392
NPI assigned
Jun 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2010

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

Authorized official

Name
Dr. Clarence Sylvester Davis III, M.D.NPI 1982633426
Title
President
Phone
(803) 791-2365

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2720 Sunset Blvd
Radiology Department
West Columbia, SC 29169-4810

Mailing address

PO Box 602420
Charlotte, NC 28260-2420
Phone (317) 705-5050

Other identifiers 1

IdentifierTypeStateIssuer
PA1140MedicaidSC

National Provider Directory

National Provider Directory

Locations

3016 Longtown Commons Dr
Ste 205
Columbia, SC 29229
Phone (803) 739-3660

146 E Hospital Dr
Ste 140
West Columbia, SC 29169
Phone (803) 936-7076

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271116800000",
    "number": "1699701284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602420",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602420",
            "telephone_number": "317-705-5050",
            "fax_number": "317-705-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 SUNSET BLVD",
            "address_2": "RADIOLOGY DEPARTMENT",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694810",
            "telephone_number": "803-791-2365",
            "fax_number": "803-791-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON RADIOLOGY ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2010-04-13",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_middle_name": "SYLVESTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-791-2365",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA1140",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; 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.