NPI 1215631395
Tallahassee Diagnostic Imaging LTD
Practice location
- Address
- 2459 Mahan Dr, Tallahassee, FL 32308-2307
- Phone
- (850) 878-4127
- 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
- 1215631395
- Entity type
- Organization
- NPI issued
- 30 Mar 2023
- Record last updated
- 30 Mar 2023
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.