Southeast Radiology Associates Pl

LBN: Southeast Radiology Associates Pl
Southeast Radiology Associates Pl is an health care organization with primary practice located at 340 Nw Commerce Dr , Lake City FL 32055-4709. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty. Southeast Radiology Associates Pl can be contacted via phone (386) 719-9000, or through Detelich, John R via phone (850) 878-4127.

Contact Information

Primary practice address
340 Nw Commerce Dr Lake City FL 32055-4709
Phone: (386) 719-9000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Detelich, John R
Phone: (850) 878-4127

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X

Profile Details

NPI number 1467409631
LBN Legal business name Southeast Radiology Associates Pl
DBA Doing business as
Authorized official Detelich, John R
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2006
Last updated Oct 17th, 2007 - about 18 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 1467409631 NPPES
Florida Other 97561 BCBS

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