Active NPI
Inmed Diagnostics Services of SC LLC
- Radiology Clinic/Center
- Duncan, SC
National Provider Identifier
1679699144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- License
- 425712
- Legal business name
- INMED DIAGNOSTICS SERVICES OF SC LLC
- Practice address
- 1704 E Main St
Duncan, SC 29334-9708 - Phone
- (864) 486-8595
- Fax
- (864) 486-8433
- NPI assigned
- Mar 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Longton
- Title
- Coo
- Phone
- (954) 510-3704
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | 425712 | SC | Primary |
Addresses
Primary practice location
1704 E Main St
Duncan, SC 29334-9708
Mailing address
2400 E Commercial Blvd
Suite 826
Ft Lauderdale, FL 33308-4054
Phone (954) 510-3700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SL0077 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
8362 Solutions Ctr
Chicago, IL 60677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1414713600000",
"number": "1679699144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 E COMMERCIAL BLVD",
"address_2": "SUITE 826",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333084054",
"telephone_number": "954-510-3700",
"fax_number": "954-510-2649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1704 E MAIN ST",
"city": "DUNCAN",
"state": "SC",
"postal_code": "293349708",
"telephone_number": "864-486-8595",
"fax_number": "864-486-8433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INMED DIAGNOSTICS SERVICES OF SC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-22",
"last_updated": "2014-10-31",
"status": "A",
"authorized_official_last_name": "LONGTON",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "954-510-3704"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "SC",
"license": "425712",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SL0077",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Duncan, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.