RADIOLOGY ASSOCIATES OF TALLAHASSEE PA NPI 1003866773

NPI Information

NPI: 1003866773
Provider Name: RADIOLOGY ASSOCIATES OF TALLAHASSEE PA
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1600 PHILLIPS RD
TALLAHASSEE, FL
ZIP 32308
Phone: (850) 878-4127
Get Directions

RADIOLOGY ASSOCIATES OF TALLAHASSEE PA is a diagnostic radiology radiology in Tallahassee, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. RADIOLOGY ASSOCIATES OF TALLAHASSEE PA NPI is 1003866773. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1600 PHILLIPS RD
TALLAHASSEE, FL
ZIP 32308-304
Phone: (850) 878-4127
Fax: (850) 878-0337

The provider's authorized official is John R Detelich .
The authorized official title is Ceo and has the following contact phone number (850) 878-4127.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 3/14/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	2085B0100X	Radiology	Body Imaging	No
2	2085N0700X	Radiology	Neuroradiology	No
3	2085N0904X	Radiology	Nuclear Radiology	No
4	2085P0229X	Radiology	Pediatric Radiology	No
5	2085R0204X	Radiology	Vascular & Interventional Radiology	No
6	2085U0001X	Radiology	Diagnostic Ultrasound	No
7	2471C3401X	Radiologic Technologist	Computed Tomography	No
8	2085R0202X	Radiology	Diagnostic Radiology	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00060	OTHER	FLORIDA	BCBS
2	053297505	MEDICAID	FLORIDA
3	053297504	MEDICAID	FLORIDA
4	00060	MEDICARE PIN	FLORIDA
5	053297501	MEDICAID	FLORIDA
6	N4026	MEDICAID	FLORIDA
7	00060A	MEDICARE PIN	FLORIDA
8	300037169A	MEDICAID	GEORGIA
9	053297500	MEDICAID	FLORIDA
10	CA6404	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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