National Provider Identifier Database

TALLAHASSEE DIAGNOSTIC IMAGING LTD
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Contact Information

TALLAHASSEE DIAGNOSTIC IMAGING LTD
15 COUNCIL MOORE RD
CRAWFORDVILLE, FL  32327-3117
Phone: 850-926-1259
Fax: 850-926-1679
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X
Body Imaging 2085B0100X
Computed Tomography Radiologic Technologist 2471C3401X
Diagnostic Ultrasound 2085U0001X
Neuroradiology 2085N0700X
Nuclear Radiology 2085N0904X
Pediatric Radiology 2085P0229X
Radiation Oncology 2085R0203X
Vascular & Interventional Radiology 2085R0204X

* Indicates primary specialty

NPI Profile & details for TALLAHASSEE DIAGNOSTIC IMAGING LTD

NPI Number 1700830890
Legal business name
LBN		 TALLAHASSEE DIAGNOSTIC IMAGING LTD
Authorized official CARA FOWLER - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 05/22/2006
Last updated 10/17/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • FL Medicaid: 062730501
  • FL Other: V3086 BCBS

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for TALLAHASSEE DIAGNOSTIC IMAGING LTD

There are currently no reviews for TALLAHASSEE DIAGNOSTIC IMAGING LTD

NPIdb - Home
v2.201