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SOUTHEAST RADIOLOGY ASSOCIATES PL
NPI 1467409631
Radiology - Diagnostic Radiology in Lake City, FL

Active since May 31, 2006
340 NW COMMERCE DR, LAKE CITY, FL 32055(386) 719-9000 Get Directions Write a Review

NPPES record last updated: October 17, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southeast Radiology Associates Pl NPPES

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

SOUTHEAST RADIOLOGY ASSOCIATES PL (NPI 1467409631) is a healthcare organization registered as a diagnostic radiology in Lake City, Florida and active in the NPI registry since May 2006. The organization lists John R Detelich, Ceo, as its authorized official.

NPPES Registry Identity

NPI1467409631
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameSOUTHEAST RADIOLOGY ASSOCIATES PL
Location Address340 NW COMMERCE DRLake City, FL 32055-4709
Mailing AddressPo Box 2293Lake City, FL 32056-2293 · (386) 752-1316
Phone(386) 719-9000
Organization SubpartNo
Authorized OfficialJohn R DetelichCeo · (850) 878-4127
Enumeration DateMay 31, 2006
Last NPPES UpdateOctober 17, 2007
✔ NPI 1467409631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ 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.
Also ListedRadiology · Body ImagingTaxonomy 2085B0100X
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X
Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X
Also ListedRadiology · Pediatric RadiologyTaxonomy 2085P0229X
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X
340 NW COMMERCE DR, Lake City, FL 32055
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Other Identifiers 3

Medicare PINQ0567FL
Other97561FL · Bcbs
Medicare PINDF4078

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

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.

DOUBLE SPRING ANESTHESIA PROVIDERS LLC
Anesthesiology
340 NW COMMERCE DR
LAKE CITY, FL 32055
Columbia County (800) 437-2672
KELLEY D HOLLAND PA
Physician Assistant (Medical)
340 NW COMMERCE DR
LAKE CITY, FL 32055
Columbia County (386) 719-9000
LACEY DAWN GEIGER AGACNP
Nurse Practitioner (Acute Care)
340 NW COMMERCE DR
LAKE CITY, FL 32055
Columbia County (386) 719-9000
AYE KHINE MD
Internal Medicine
340 NW COMMERCE DR
LAKE CITY, FL 32055
Columbia County (386) 719-9000
FERDINAND B HILAGA MD
Anesthesiology
340 NW COMMERCE DR
LAKE CITY, FL 32055
Columbia County (386) 719-9390
MRS. MELISSA KAY RIDDLE
Respiratory Therapist, Registered (General Care)
340 NW COMMERCE DR
LAKE CITY, FL 32055
Columbia County (386) 719-9000
FERDINAND B HILAGA MD PA
Anesthesiology
340 NW COMMERCE DR
LAKE CITY, FL 32055
Columbia County (386) 719-9390
MRS. TAMIKA DOWLING ARNP
Nurse Practitioner (Family)
340 NW COMMERCE DR
LAKE CITY, FL 32055
Columbia County (407) 346-0676

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 Southeast Radiology Associates Pl's NPI number?

The NPI number for Southeast Radiology Associates Pl is 1467409631. It was assigned to this organization in the NPPES registry on May 31, 2006.

Where is Southeast Radiology Associates Pl located?

Southeast Radiology Associates Pl is located at 340 NW Commerce Dr, Lake City, FL 32055. The listed phone number is (386) 719-9000.

What is Southeast Radiology Associates Pl's specialty?

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

When was this NPI record last updated?

The NPPES record for Southeast Radiology Associates Pl was last updated on October 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.