| NPI | 1407630460 |
|---|---|
| Doing Business As | LMC IDTF FOREST ACRES |
| Entity Type | Organization |
| Authorized Contact | JEFFREY BRILLHART Senior VP/ CFO 803-791-2967 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2023-08-22 |