| NPI | 1326640442 |
|---|---|
| Doing Business As | LMC IDTF NORTHEAST |
| Entity Type | Organization |
| Authorized Contact | JEFFREY BRILLHART Sr VP/CFO 803-791-2967 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2020-12-02 |