Organization
INMED DIAGNOSTICS SERVICES OF SC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN RESTIVO (COMPLIANCE & CREDENTIALING MANAGER)
(352) 241-6100
Entity
Organization
Contact information
Practice address
126 S ASSEMBLY ST, COLUMBIA, SC 29201-4545
(803) 988-0082
(803) 988-0095
Mailing address
PO BOX 593869, ORLANDO, FL 32859-3869
(352) 241-6100
(352) 241-6101
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
19347
SC
261QR0200X
Radiology Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PL0036
—
SC
Enumeration date
04/10/2006
Last updated
02/07/2025
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