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INSTITUTE OF DIAGNOSTIC IMAGING,LLC
NPI 1982670022
Radiology - Diagnostic Radiology in Ft Walton Beach, FL

Active since February 28, 2006CLIA 10D2231601 · Waiver
424 RACETRACK RD NW, FT WALTON BEACH, FL 32547(850) 314-7575(850) 314-7494 Get Directions Write a Review

NPPES record last updated: June 20, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Institute Of Diagnostic Imaging,llc NPPES

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

INSTITUTE OF DIAGNOSTIC IMAGING,LLC (NPI 1982670022) is a healthcare organization registered as a diagnostic radiology in Ft Walton Beach, Florida and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through August 3, 2027 and lists Laurie Borgstrom, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1982670022
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameINSTITUTE OF DIAGNOSTIC IMAGING,LLC
Location Address424 RACETRACK RD NWFt Walton Beach, FL 32547-1556
Mailing Address424 Racetrack Rd NwFort Walton Beach, FL 32547-1556 · (850) 314-7575 · Fax (850) 314-7494
Phone(850) 314-7575
Fax(850) 314-7494
Organization SubpartNo
Authorized OfficialLaurie BorgstromOffice Manager · (850) 314-7575
Enumeration DateFebruary 28, 2006
Last NPPES UpdateJune 20, 2014
✔ NPI 1982670022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in FL · 602617
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

424 RACETRACK RD NW, Ft Walton Beach, FL 32547
Open in Google Maps ↗

Other Identifiers 6

Medicaid268363600FL
Medicare PINDB5733FL
OtherDB5733FL · Railroad Medicare
Medicare PIN42622YFL
Medicare PIN09981YFL
Medicare PIN34904FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

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 10D2231601

Institute Of Diagnostic Imaging, The · Fort Walton Beach, FL
Active · expires Aug 3, 2027
CLIA Number10D2231601
Laboratory TypeOutpatien Diagnostic Imag
Certificate Effective DateAugust 4, 2025
Certificate Expiration DateAugust 3, 2027
Laboratory DirectorKelly Firestine
Laboratory Phone(850) 314-7575
Laboratory LocationInstitute Of Diagnostic Imaging, The424 Racetrack Road NW, Fort Walton Beach, FL 32547
CLIA data matches this NPI record on: Address 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.

OIA OF FORT WALTON
Clinic/Center (Radiology)
424 RACETRACK RD NW
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 314-7575

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 Institute Of Diagnostic Imaging,llc's NPI number?

The NPI number for Institute Of Diagnostic Imaging,llc is 1982670022. It was assigned to this organization in the NPPES registry on February 28, 2006.

Where is Institute Of Diagnostic Imaging,llc located?

Institute Of Diagnostic Imaging,llc is located at 424 Racetrack Rd NW, Ft Walton Beach, FL 32547. The listed phone number is (850) 314-7575.

What is Institute Of Diagnostic Imaging,llc's specialty?

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

Does Institute Of Diagnostic Imaging,llc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2231601) is associated with this NPI, valid through August 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Institute Of Diagnostic Imaging,llc was last updated on June 20, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.