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Radiology Associates of Tallahassee PA

NPI 1043882673ActiveOrganization· Radiology, Diagnostic Radiology· Tallahassee, FL

Radiology, Diagnostic Radiology in Tallahassee, Florida, registered in NPPES in July 2021, part of Radiology Associates of Tallahassee PA. The authorized official on file is John R. Detelich, Ceo.

Overview

NPI1043882673
StatusActive
Entity typeOrganization (subpart)
Parent organizationRadiology Associates of Tallahassee PA
NPI issuedJul 13, 2021
Last updated in NPPESJul 13, 2021
Certified by providerJun 16, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Radiology, Diagnostic Radiology Primary2085R0202X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other diagnostic radiologists in Tallahassee

All 46 diagnostic radiologists in Tallahassee · All diagnostic radiologists in Florida