Organization · Type 2 NPI
Tidelands and Medquest Joint Venture, LLC
Radiology Clinic/Center · Myrtle Beach, SC
NPI number
1083275366
Active
Practice location
900 21st Ave N
Myrtle Beach, SC 29577-7483
Fax (843) 916-9460
Mailing address
PO Box 421718
Georgetown, SC 29442-4203
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology Clinic/Center Primary | 261QR0200X | None listed |
Radiology Clinic/Center: Definition to come...
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About NPI 1083275366
Tidelands and Medquest Joint Venture, LLC's National Provider Identifier is 1083275366, issued on Jun 26, 2019. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in Myrtle Beach, SC. The record was last updated on Apr 16, 2026.