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TALLAHASSEE DIAGNOSTIC IMAGING LTD
NPI 1215631395
Radiology - Diagnostic Radiology in Tallahassee, FL

Active since March 30, 2023CLIA Certified · 2 labs
2459 MAHAN DR, TALLAHASSEE, FL 32308(850) 878-4127 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tallahassee Diagnostic Imaging Ltd NPPES

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

TALLAHASSEE DIAGNOSTIC IMAGING LTD (NPI 1215631395) is a healthcare organization registered as a diagnostic radiology in Tallahassee, Florida and active in the NPI registry since March 2023. The organization holds 2 active CLIA laboratory certificates and lists John R Detelich, Ceo, as its authorized official.

NPPES Registry Identity

NPI1215631395
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameTALLAHASSEE DIAGNOSTIC IMAGING LTD
Location Address2459 MAHAN DRTallahassee, FL 32308-2307
Mailing AddressPo Box 21348Tampa, FL 33622-1348
Phone(850) 878-4127
Organization SubpartNo
Authorized OfficialJohn R DetelichCeo · (850) 878-4127
Enumeration DateMarch 30, 2023
NPPES CertifiedJuly 19, 2021
✔ NPI 1215631395 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.
2459 MAHAN DR, Tallahassee, FL 32308
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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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2197495

Tallahassee Diagnostic Imaging Express Mri · Tallahassee, FL
Active · expires Oct 25, 2026
CLIA Number10D2197495
Laboratory TypeDiagnostic Imaging Facili
Certificate Effective DateOctober 26, 2024
Certificate Expiration DateOctober 25, 2026
Laboratory DirectorDavid Burns
Laboratory Phone(850) 878-4127
Laboratory LocationTallahassee Diagnostic Imaging Express Mri2459 Mahan Drive Suites 1,2,3, Tallahassee, FL 32308
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2197524

Tallahassee Diagnostic Imaging In Tallahassee Memorial Hospital · Tallahassee, FL
Active · expires Oct 25, 2026
CLIA Number10D2197524
Laboratory TypeDiagnostic Imaging Facili
Certificate Effective DateOctober 26, 2024
Certificate Expiration DateOctober 25, 2026
Laboratory DirectorDavid Burns
Laboratory Phone(850) 878-4127
Laboratory LocationTallahassee Diagnostic Imaging In Tallahassee Memorial Hospital1300 Miccosukee Rd, Tallahassee, FL 32308
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

TALLAHASSEE DIAGNOSTIC IMAGING CENTER, LTD
Radiology (Diagnostic Radiology)
2459 MAHAN DR
TALLAHASSEE, FL 32308
Leon County (850) 878-4127

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 Diagnostic Imaging Ltd's NPI number?

The NPI number for Tallahassee Diagnostic Imaging Ltd is 1215631395. It was assigned to this organization in the NPPES registry on March 30, 2023.

Where is Tallahassee Diagnostic Imaging Ltd located?

Tallahassee Diagnostic Imaging Ltd is located at 2459 Mahan Dr, Tallahassee, FL 32308. The listed phone number is (850) 878-4127.

What is Tallahassee Diagnostic Imaging Ltd's specialty?

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

Does Tallahassee Diagnostic Imaging Ltd hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Tallahassee Diagnostic Imaging Ltd was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.