TOMOKA DIAGNOSTIC INC. NPI 1821156662

NPI Information

  • NPI: 1821156662
  • Provider Name: TOMOKA DIAGNOSTIC INC.
  • Classification: Radiologic Technologist - 2471M1202X
  • Specialization: Magnetic Resonance Imaging
  • Entity Type: Organization
  • Former Legal Business Name: TOMOKA MOBILE MRI INC.
  • Address: 1510 MASON AVE
    DAYTONA BEACH, FL
    ZIP 32117
  • Phone: (386) 274-5676

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NPI Details

TOMOKA DIAGNOSTIC INC. is a magnetic resonance imaging radiologic technologist in Daytona Beach, FL. The provider is a radiologic technologist who specializes in magnetic resonance imaging (MRI) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of MRIs, exam techniques, equipment protocols, radiation safety, and patient care. TOMOKA DIAGNOSTIC INC. NPI is 1821156662. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Tomoka Mobile Mri Inc..

The provider's business location address is:

1510 MASON AVE
DAYTONA BEACH, FL
ZIP 32117-549
Phone: (386) 274-5676
Fax: (386) 274-3605

The provider's authorized official is John August Ortolani .
The authorized official title is Ceo and has the following contact phone number (386) 274-3620.

The enumeration date for this NPI number is 12/5/2006 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
12471M1202XRadiologic TechnologistMagnetic Resonance ImagingJR3724900FLORIDAYes

What is NPI?

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This page was last updated on: 11/21/2025

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