NPI | 1811594294 |
---|---|
Doing Business As | LMC IDTF IRMO |
Entity Type | Organization |
Authorized Contact | JEFFREY BRILLHART Senior VP/CFO 803-791-2967 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2020-10-08 |
Last Update Date | 2020-10-12 |