Radiology Associates Of Tallahassee Pa

LBN: Radiology Associates Of Tallahassee Pa
Radiology Associates Of Tallahassee Pa is an health care organization with primary practice located at 1300 Miccosukee Rd , Tallahassee FL 32308-5054. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Radiology Associates Of Tallahassee Pa can be contacted via phone (850) 431-1155, or through Detelich, John R via phone (850) 878-4127.

Contact Information

Primary practice address
1300 Miccosukee Rd Tallahassee FL 32308-5054
Fax:
Website:
Authorized official contact:
Name: Detelich, John R

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1003291535
LBN Legal business name Radiology Associates Of Tallahassee Pa
DBA Doing business as
Authorized official Detelich, John R
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2015
Last updated Jul 27th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003291535 NPPES
Florida MEDICAID 053297501
Florida MEDICAID 053297505
Florida Other 00060
Florida MEDICAID 053297504
Florida MEDICAID 300037169A
Florida Other CA6404

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