Organization
TALLAHASSEE DIAG IMAGING CTR LTD
Active
Organization
TALLAHASSEE DIAG IMAGING CTR LTD
Active
Parent organization
TALLAHASSEE DIAG IMAGING CTR LTD
Organization subpart
Yes
Provider details
NPI number
Legal business name
TALLAHASSEE DIAG IMAGING CTR LTD
Authorized official
JOHN DETELICH (CEO)
(850) 878-4127
Entity
Organization
Contact information
Practice address
1600 PHILLIPS RD, TALLAHASSEE, FL 32308-5304
(850) 878-4127
Mailing address
PO BOX 21348, TAMPA, FL 33622-1348
(800) 841-4236
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
02/27/2017
Last updated
06/16/2021
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