NPI 1073288817
Tallahassee Diag Imaging Ctr LTD
Practice location
- Address
- 1300 Miccosukee Rd, Tallahassee, FL 32308-5054
- Phone
- (850) 431-4120
- Mailing address
- PO Box 21348, Tampa, FL 33622-1348
Authorised official
- Name
- John R Detelich
- Title
- Ceo
- Phone
- (850) 878-4127
Registered specialties
Diagnostic Radiology Physician
Primary
Registry record
- NPI
- 1073288817
- Entity type
- Organization
- NPI issued
- 13 Aug 2021
- Record last updated
- 12 Feb 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.