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Export Provider Record NPI 1215631395
Tallahassee Diagnostic Imaging Ltd
Organization Subpart: NO
Active
NPI Number1215631395
NPI TypeNPI-2 Organization
SpecialtyRadiology, Diagnostic Radiology
Provider Details
NPI1215631395
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2023-03-30
Last Updated2023-03-30
Authorized OfficialJohn Detelich
CEO
Phone: 8508784127
Mailing AddressPo Box 21348
Tampa, FL 33622-1348
United States
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Primary Practice Address2459 Mahan Dr
Tallahassee, FL 32308-2307
United States
Phone: (850) 878-4127
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Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes2085R0202X – Radiology, Diagnostic Radiology--
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About NPI 1215631395

Tallahassee Diagnostic Imaging Ltd is an organization registered in the CMS NPPES NPI Registry with NPI number 1215631395. The primary specialty listed is Radiology, Diagnostic Radiology. The organization is located in Tallahassee, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2023-03-30. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1215631395?

NPI 1215631395 belongs to Tallahassee Diagnostic Imaging Ltd, a Radiology, Diagnostic Radiology in Tallahassee, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1215631395 active?

The current status of NPI 1215631395 in the NPPES registry is Active. The record was last updated on 2023-03-30.

What specialty is NPI 1215631395?

NPI 1215631395 is classified under the taxonomy Radiology, Diagnostic Radiology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1215631395?

You can verify NPI 1215631395 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1215631395?

The primary practice address on file for NPI 1215631395 is 2459 Mahan Dr, Tallahassee, FL 32308-2307. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1215631395 issued?

NPI 1215631395 was first issued (enumerated) on 2023-03-30. The NPPES record was last updated on 2023-03-30.

Practice Location Map

Tallahassee Diagnostic Imaging Ltd is located at 2459 Mahan Dr, Tallahassee, FL. Use the map below to find directions or verify the practice location.

📍 2459 Mahan Dr, Tallahassee, FL 32308-2307  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Tallahassee Diagnostic Imaging Ltd. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-09-01 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162