Tallahassee Diag Imaging Ctr Ltd
NPI #1073288817 in Tallahassee, Florida
Provider Information
- NPI Number
- 1073288817
- Entity Type
- Organization
- Organization Name
- Tallahassee Diag Imaging Ctr Ltd
- Primary Specialty
- Radiology - Diagnostic Radiology
- Enumeration Date
- Aug 13, 2021
- Last Updated
- Feb 12, 2022
Practice Location
- Address
- 1300 MICCOSUKEE RD
- City
- Tallahassee
- State
- Florida
- ZIP Code
- 32308-5054
- Phone
- (850) 431-4120
Authorized Official
- Name
- JOHN R DETELICH
- Title
- CEO
- Phone
- (850) 878-4127
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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