SOUTHEASTERN OSTEOPOROSIS SERVICES INC NPI 1407848211

NPI Information

NPI: 1407848211
Provider Name: SOUTHEASTERN OSTEOPOROSIS SERVICES INC
Classification: Radiologic Technologist - 2471B0102X
Specialization: Bone Densitometry
Entity Type: Organization
Address: 4511 N DAVIS HWY
SUITE 1-C
PENSACOLA, FL
ZIP 32503
Phone: (850) 477-0775

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NPI Details

SOUTHEASTERN OSTEOPOROSIS SERVICES INC is a bone densitometry radiologic technologist in Pensacola, FL. The provider is a radiologic technologist who specializes in bone densitometry and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy, in performance of bone density imaging, exam techniques, equipment protocols, radiation safety, and patient care. SOUTHEASTERN OSTEOPOROSIS SERVICES INC NPI is 1407848211. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4511 N DAVIS HWY
SUITE 1-C
PENSACOLA, FL
ZIP 32503-720
Phone: (850) 477-0775

The provider's authorized official is Stephen D Bast .
The authorized official title is President and has the following contact phone number (850) 477-0775.

The enumeration date for this NPI number is 8/17/2005 and was last updated on 8/22/2020.

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	2471B0102X	Radiologic Technologist	Bone Densitometry	JR3419100	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	34252	MEDICAID	ALABAMA
2	3405722	OTHER	FLORIDA	UNITED HEALTH CARE

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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