Tidelands and Medquest Joint Venture, LLC
NPI #1083275366 in Myrtle Beach, South Carolina
Provider Information
- NPI Number
- 1083275366
- Entity Type
- Organization
- Organization Name
- Tidelands and Medquest Joint Venture, LLC
- Primary Specialty
- Physiological Laboratory
- Enumeration Date
- Jun 26, 2019
- Last Updated
- Sep 11, 2019
Practice Location
- Address
- 900 21ST AVE N
- City
- Myrtle Beach
- State
- South Carolina
- ZIP Code
- 29577-7483
- Phone
- (843) 916-1700
Authorized Official
- Name
- ELIZABETH S WARD
- Title
- EVP & CFO
- Phone
- (843) 527-7102
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
| Physiological Laboratory |
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