Organization Active NPI

Inmed Diagnostics Services of SC LLC

  • Radiology Clinic/Center
  • Duncan, SC
National Provider Identifier
1679699144
Registry record updated Oct 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
425712 Issued in SC
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

Updated by the provider on Oct 31, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
SL0077MedicaidSC

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.