Organization
INMED DIAGNOSTIC SERVICES OF IL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH LONGTON (COO)
(954) 510-3704
Entity
Organization
Contact information
Practice address
4119 S WATER TOWER PLACE, SUITE A, MT. VERNON, IL 62864-9595
(618) 985-8007
(618) 985-8031
Mailing address
2400 E. COMMERCIAL, SUITE 826, FT. LAUDERDALE, FL 33308
(954) 510-3700
(954) 510-2649
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
04/19/2006
Last updated
12/23/2014
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