FLORIDA DIAGNOSTIC IMAGING CENTER INC NPI 1235197930

NPI Information

NPI: 1235197930
Provider Name: FLORIDA DIAGNOSTIC IMAGING CENTER INC

Doing Business As: PENSACOLA OPEN MRI

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
4511 N DAVIS HWY
SUITE 1-B
PENSACOLA, FL
ZIP 32503
Phone: (850) 484-8454
Get Directions

FLORIDA DIAGNOSTIC IMAGING CENTER INC is a diagnostic radiology radiology in Pensacola, 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 1235197930. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pensacola Open Mri.

The provider's business location address is:

4511 N DAVIS HWY
SUITE 1-B
PENSACOLA, FL
ZIP 32503-720
Phone: (850) 484-8454
Fax: (850) 484-7754

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 10D1052524 - 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	55301	OTHER	FLORIDA	BCBS ALABAMA
2	V2193	OTHER	FLORIDA	BCBS
3	068972	OTHER	FLORIDA	VISTA MEDICAID
4	470000877	OTHER	FLORIDA	RAILROAD MEDICARE
5	7143079	OTHER	FLORIDA	AETNA
6	262856202	MEDICAID	FLORIDA

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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