Organization
LEXINGTON OPEN MRI, LLC
Active
Other names
Palmetto Imaging Irmo
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEOFFREY K. GARDNER (SVP FINANCE AND REVENUE CYCLE)
(336) 718-2078
Entity
Organization
Contact information
Practice address
7182 WOODROW ST STE 101, IRMO, SC 29063-2832
(803) 256-7646
(803) 936-9202
Mailing address
PO BOX 933548, ATLANTA, GA 31193-3548
(770) 300-0101
(700) 300-0429
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
470000508
RAILROAD MEDICARE
SC
Enumeration date
05/03/2006
Last updated
03/20/2024
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