FLORIDA DIAGNOSTIC IMAGING CENTER INC NPI 1225096936

NPI Information

NPI: 1225096936
Provider Name: FLORIDA DIAGNOSTIC IMAGING CENTER INC

Doing Business As: PANAMA CITY OPEN MRI & IMAGING

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
2525 MARTIN LUTHER KING JR. BLVD
PANAMA CITY, FL
ZIP 32405
Phone: (850) 873-6900
Get Directions

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 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
1	2085R0202X	Radiology	Diagnostic Radiology		FLORIDA	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	7501697	OTHER	FLORIDA	AETNA
2	SG076081	OTHER	FLORIDA	VISTA SUNRISE
3	V2704	OTHER	FLORIDA	BCBS FLORIDA
4	2050236	OTHER	FLORIDA	UNITED HEALTHCARE
5	262856200	MEDICAID	FLORIDA
6	470000877	OTHER	FLORIDA	RR 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: 11/14/2023

NPI Synchronization or Removal

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