Healthcare Provider Details

I. General information

NPI: 1831372143
Provider Name (Legal Business Name): INMED DIAGNOSTIC SERVICES OF RI, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2007
Last Update Date: 12/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

469 CENTERVILLE RD SUITE 103
WARWICK RI
02886-4354
US

IV. Provider business mailing address

126 S ASSEMBLY ST
COLUMBIA SC
29201-4545
US

V. Phone/Fax

Practice location:
  • Phone: 401-738-9002
  • Fax: 401-732-4167
Mailing address:
  • Phone: 803-988-1093
  • Fax: 803-988-8185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT E ADAMS
Title or Position: PRESIDENT
Credential:
Phone: 803-988-1093