Organization
INMED DIAGNOSTICS SERVICES OF SC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN RESTIVO (CREDENTIALING MANAGER)
(352) 241-6100
Entity
Organization
Contact information
Practice address
811 82ND PKWY STE D, MYRTLE BEACH, SC 29572-4653
(843) 692-0040
(843) 692-0046
Mailing address
PO BOX 593869, ORLANDO, FL 32859-3869
(352) 241-6100
(352) 241-6101
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
42D1057507
SC
Other
Enumeration date
06/18/2007
Last updated
01/20/2022
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