NPIMap

Organization Active NPI

Inmed Diagnostic Services of Il, LLC

  • Mobile Radiology Clinic/Center
  • Carterville, IL
National Provider Identifier
1508002809
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
INMED DIAGNOSTIC SERVICES OF IL, LLC
Practice address
10419 Fleming Rd
Carterville, IL 62918-3391
Phone
(618) 985-8007
Fax
(618) 985-8031
NPI assigned
Dec 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Robert E Adams
Title
President
Phone
(803) 988-1093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X Primary

Addresses

Primary practice location

10419 Fleming Rd
Carterville, IL 62918-3391

Mailing address

126 S Assembly St
Columbia, SC 29201-4545
Phone (803) 988-1093

National Provider Directory

National Provider Directory

Locations

126 S Assembly St
Columbia, SC 29201
Phone (803) 445-2941

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1508002809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 S ASSEMBLY ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292014545",
            "telephone_number": "803-988-1093",
            "fax_number": "803-988-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10419 FLEMING RD",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629183391",
            "telephone_number": "618-985-8007",
            "fax_number": "618-985-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INMED DIAGNOSTIC SERVICES OF IL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-988-1093",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carterville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.