FLORIDA DIAGNOSTIC IMAGING CENTER INC NPI 1225096936

NPI Information

  • NPI: 1225096936
  • Provider Name: FLORIDA DIAGNOSTIC IMAGING CENTER INC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Doing Business As: PANAMA CITY OPEN MRI & IMAGING
  • CLIA Number: 10D1093777
  • Address: 2525 MARTIN LUTHER KING JR. BLVD
    PANAMA CITY, FL
    ZIP 32405
  • Phone: (850) 873-6900

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NPI Details

FLORIDA DIAGNOSTIC IMAGING CENTER INC is a diagnostic radiology radiology in Panama City, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. FLORIDA DIAGNOSTIC IMAGING CENTER INC NPI is 1225096936. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Panama City Open Mri & Imaging.

The provider's business location address is:

2525 MARTIN LUTHER KING JR. BLVD
PANAMA CITY, FL
ZIP 32405-414
Phone: (850) 873-6900
Fax: (850) 873-6902

The provider's authorized official is Raif Erim .
The authorized official title is Coo and has the following contact phone number (615) 713-7519.

The CLIA number assigned to this NPI record is 10D1093777 - other with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Injection, gadobutrol, 0.1 ml (HCPCS:A9585)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of face without contrast (HCPCS:70486)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Mri scan of middle spinal canal without contrast (HCPCS:72146)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Mri scan of lower spinal canal before and after contrast (HCPCS:72158)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • Ct scan of soft tissue of neck with contrast (HCPCS:70491)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of middle spine, 3 views (HCPCS:72072)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ct scan of leg without contrast (HCPCS:73700)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Mri scan of blood vessels of head without contrast (HCPCS:70544)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Ct scan of arm without contrast (HCPCS:73200)
  • Mri scan of blood vessels of neck without contrast (HCPCS:70547)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • Mri scan of upper spinal canal before and after contrast (HCPCS:72156)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Ct scan of abdomen without contrast (HCPCS:74150)
  • Mri scan of leg without contrast (HCPCS:73718)
  • Ct scan of soft tissue of neck before and after contrast (HCPCS:70492)
  • Ct scan of cranial cavity without contrast (HCPCS:70480)
  • X-ray of joint between lower spine and hip bone, 3 or more views (HCPCS:72202)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Mri scan of pelvis without contrast (HCPCS:72195)
  • Ct scan of abdomen with contrast (HCPCS:74160)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Mri scan of pelvis before and after contrast (HCPCS:72197)
  • Ct scan of soft tissue of neck without contrast (HCPCS:70490)
  • Complete ultrasound scan of pelvis (HCPCS:76856)
  • X-ray of both hips, 3-4 views (HCPCS:73522)
  • Mri scan of abdomen without contrast (HCPCS:74181)
  • Ct scan of head or brain before and after contrast (HCPCS:70470)
  • Mri scan of middle spinal canal before and after contrast (HCPCS:72157)
  • Ct scan of abdomen before and after contrast (HCPCS:74170)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Ct scan of middle spine without contrast (HCPCS:72128)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)

The enumeration date for this NPI number is 5/2/2006 and was last updated on 6/14/2021.

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 License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyFLORIDAYes

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
17501697OTHERFLORIDAAETNA
2SG076081OTHERFLORIDAVISTA SUNRISE
3V2704OTHERFLORIDABCBS FLORIDA
42050236OTHERFLORIDAUNITED HEALTHCARE
5262856200MEDICAIDFLORIDA
6470000877OTHERFLORIDARR MEDICARE

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: 11/21/2025

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