Organization
INMED DIAGNOSTICS SERVICES OF SC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH LONGTON (CEO)
(954) 510-3704
Entity
Organization
Contact information
Practice address
4701 OLEANDER DR, STE C, MYRTLE BEACH, SC 29577-5762
(843) 692-0040
(843) 692-0046
Mailing address
2400 E COMMERCIAL BLVD, SUITE 826, FT LAUDERDALE, FL 33308-4054
(954) 510-3700
(954) 510-2649
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
85342
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PL0068
—
SC
Enumeration date
03/22/2007
Last updated
10/31/2014
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