| Organization Name: | INMED DIAGNOSTIC SERVICES OF IL, LLC |
| NPI Number: | 1508002809 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT E ADAMS (PRESIDENT) |
| Mailing Address: | 10419 Fleming Rd Carterville |
| State: | IL US |
| Postal Code: | 629183391 |
| Phone Number: | 6189858007 |
| Fax Number: | 6189858031 |
| NPI Enumeration Date: | 12/17/2008 |
| NPI Last Update Date: | 12/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0208X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology, Mobile |
| Taxonomy Definition: | |