MEDICARE: LEXINGTON HEALTH, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0200X	Radiology Clinic/Center

General Provider Information

NPI Number	:	1407630460
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEXINGTON HEALTH, INC

Provider Business Mailing Address
First Line	:	PO BOX 6069
Second Line	:
City	:	WEST COLUMBIA
State	:	SC
Zip	:	29171-6069
Country	:	US
Telephone Number	:	803-791-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	5143 FOREST DR STE 110
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29206-4918
Country	:	US
Telephone Number	:	803-791-2000
Fax Number	:

Authorized Official
Title or Position	:	SENIOR VP/ CFO
Name	:	JEFFREY BRILLHART
Credential	:
Telephone Number	:	803-791-2967

Provider Enumeration Date	:	08/22/2023
Last Update Date	:	04/06/2026

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Directions to “LEXINGTON HEALTH, INC ” Practice Location

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