Organization
DESTIN REGIONAL IMAGING CENTER LLC
Active
Organization
DESTIN REGIONAL IMAGING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHUN CHEN MD (VICE PRESIDENT)
(850) 278-3556
Entity
Organization
Contact information
Practice address
75 ORIGINS MAIN ST STE 201, WATERSOUND, FL 32461-8647
(850) 278-3556
Mailing address
PO BOX 1977, INDIANAPOLIS, IN 46206-1977
(855) 410-3201
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00871
BC OF FLORIDA
—
Enumeration date
05/27/2022
Last updated
05/27/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up