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:
Health care specialties
| Specialty | Code | License # | 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 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467409631 | NPPES |
| Florida | Other | 97561 | BCBS |
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