1. Home
  2. Directory
  3. Florida
  4. Tallahassee
  5. Radiology
  6. NPI Profile

TALLAHASSEE DIAG IMAGING CTR LTD
NPI 1073288817
Radiology - Diagnostic Radiology in Tallahassee, FL

Active since August 13, 2021
1300 MICCOSUKEE RD, TALLAHASSEE, FL 32308(850) 431-4120 Get Directions Write a Review

NPPES record last updated: February 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 12, 2022, Aug 13, 2021 (2 updates tracked since 2021).

About Tallahassee Diag Imaging Ctr Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TALLAHASSEE DIAG IMAGING CTR LTD (NPI 1073288817) is a healthcare organization registered as a diagnostic radiology in Tallahassee, Florida and active in the NPI registry since August 2021. The organization lists John R Detelich, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073288817
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameTALLAHASSEE DIAG IMAGING CTR LTD
Location Address1300 MICCOSUKEE RDTallahassee, FL 32308-5054
Mailing AddressPo Box 21348Tampa, FL 33622-1348
Phone(850) 431-4120
Organization SubpartNo
Authorized OfficialJohn R DetelichCeo · (850) 878-4127
Enumeration DateAugust 13, 2021
Last NPPES UpdateFebruary 12, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2022
✔ NPI 1073288817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1300 MICCOSUKEE RD, Tallahassee, FL 32308
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RADIOLOGY ASSOCIATES OF TALLAHASSEE PA
Radiology (Diagnostic Radiology)
1300 MICCOSUKEE RD
TALLAHASSEE, FL 32308
Leon County (850) 431-1155
PETER ANDREW TURNER PA
Physician Assistant
1300 MICCOSUKEE RD
TALLAHASSEE, FL 32308
Leon County (850) 431-1155
RACHEL FAITH POSTON FNP
Nurse Practitioner
1300 MICCOSUKEE RD
TALLAHASSEE, FL 32308
Leon County (850) 431-1155
ADAM CHONG JOO M.D.
Family Medicine
1300 MICCOSUKEE RD, HOSPITALIST GROUP
TALLAHASSEE, FL 32308
Leon County (850) 431-4996
DR. SHAHRZAD A ZAMANI DO
Student in an Organized Health Care Education/Training Program
1300 MICCOSUKEE RD
TALLAHASSEE, FL 32308
Leon County (850) 431-8261
VARAK ROSDOM MANOOGIAN
Student in an Organized Health Care Education/Training Program
1300 MICCOSUKEE RD
TALLAHASSEE, FL 32308
Leon County (850) 431-8261
BRIAN MENA REYES MD
Student in an Organized Health Care Education/Training Program
1300 MICCOSUKEE RD
TALLAHASSEE, FL 32308
Leon County (850) 431-8261
MS. PAULINE BOHANNON
Speech-Language Pathologist
1300 MICCOSUKEE RD
TALLAHASSEE, FL 32308
Leon County (850) 431-7112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tallahassee Diag Imaging Ctr Ltd's NPI number?

The NPI number for Tallahassee Diag Imaging Ctr Ltd is 1073288817. It was assigned to this organization in the NPPES registry on August 13, 2021.

Where is Tallahassee Diag Imaging Ctr Ltd located?

Tallahassee Diag Imaging Ctr Ltd is located at 1300 Miccosukee Rd, Tallahassee, FL 32308. The listed phone number is (850) 431-4120.

What is Tallahassee Diag Imaging Ctr Ltd's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

What insurance does Tallahassee Diag Imaging Ctr Ltd accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Tallahassee Diag Imaging Ctr Ltd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tallahassee Diag Imaging Ctr Ltd was last updated on February 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.