INMED DIAGNOSTICS SERVICES OF SC LLC NPI 1104889377

NPI Information

NPI: 1104889377
Provider Name: INMED DIAGNOSTICS SERVICES OF SC LLC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
126 S ASSEMBLY ST
COLUMBIA, SC
ZIP 29201
Phone: (803) 988-0082
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INMED DIAGNOSTICS SERVICES OF SC LLC is a radiology clinic center in Columbia, SC. INMED DIAGNOSTICS SERVICES OF SC LLC NPI is 1104889377. The provider is registered as an organization entity type.

The provider's business location address is:

126 S ASSEMBLY ST
COLUMBIA, SC
ZIP 29201-545
Phone: (803) 988-0082
Fax: (803) 988-0095

The provider's authorized official is Carmen Restivo .
The authorized official title is Compliance & Credentialing Manager and has the following contact phone number (352) 241-6100.

The enumeration date for this NPI number is 4/10/2006 and was last updated on 12/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0200X	Clinic/Center	Radiology	19347	SOUTH CAROLINA	Yes
2	261QR0200X	Clinic/Center	Radiology			No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PL0036	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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