RADIOLOGY ASSOCIATES OF TALLAHASSEE PA; NPI #1003866773

Contact Information

RADIOLOGY ASSOCIATES OF TALLAHASSEE PA

1600 PHILLIPS RD
TALLAHASSEE, FL 32308-5304

Phone: 850-878-4127
Fax: 850-878-0337
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology
Body Imaging	2085B0100X
Computed Tomography Radiologic Technologist	2471C3401X
Diagnostic Ultrasound	2085U0001X
Neuroradiology	2085N0700X
Nuclear Radiology	2085N0904X
Pediatric Radiology	2085P0229X
Vascular & Interventional Radiology	2085R0204X	94	Physician/Interventional Radiology

Indicates primary specialty

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NPI Profile & details for RADIOLOGY ASSOCIATES OF TALLAHASSEE PA

NPI Number 1003866773

LBN Legal business name RADIOLOGY ASSOCIATES OF TALLAHASSEE PA

Authorized official JOHN DETELICH - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/11/2006

Last updated 03/14/2014 - About 12 years ago

Identifiers

FL	Medicaid	053297500
FL	Medicaid	053297501
FL	Medicaid	053297504
FL	Medicaid	053297505
FL	Medicaid	N4026
GA	Medicaid	300037169A
FL	Other	00060	BCBS

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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RADIOLOGY ASSOCIATES OF TALLAHASSEE PA

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NPI Profile & details for RADIOLOGY ASSOCIATES OF TALLAHASSEE PA

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