Tallahassee Diagnostic Imaging Ltd

LBN: Tallahassee Diag Imaging Ctr Ltd
Tallahassee Diagnostic Imaging Ltd is an health care organization with primary practice located at 1600 Phillips Rd , Tallahassee FL 32308-5304. The organization recently has 9 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, Technologists, Technicians & Other Technical Service Providers / Computed Tomography, Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty. Tallahassee Diag Imaging Ctr Ltd can be contacted via phone (850) 878-4127, or through Detelich, John R via phone (850) 671-6412.

Contact Information

Primary practice address
1600 Phillips Rd Tallahassee FL 32308-5304
Phone: (850) 878-4127
Fax: (850) 878-9729
Website:
Map and Directions
Authorized official contact:
Name: Detelich, John R
Phone: (850) 671-6412

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
Technologists, Technicians & Other Technical Service Providers / Computed Tomography 2471C3401X
Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging 2471M1202X

Profile Details

NPI number 1639129521
LBN Legal business name Tallahassee Diag Imaging Ctr Ltd
DBA Doing business as Tallahassee Diagnostic Imaging Ltd
Authorized official Detelich, John R
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2006
Last updated May 19th, 2017 - about 7 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 1639129521 NPPES
Florida MEDICAID 062730503
Florida Other V3052
Florida MEDICAID 062730500
Florida Other CL1403
Florida Other 98956
Florida Other V3053
Florida Other V3054
Florida MEDICAID 062730502
Florida Other 300038358C

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