Tallahassee Diag Imaging Ctr Ltd
NPI 1205376191ActiveOrganization· Radiology, Diagnostic Radiology· Tallahassee, FL
Radiology, Diagnostic Radiology in Tallahassee, Florida, registered in NPPES in February 2017, part of Tallahassee Diag Imaging Ctr Ltd. The authorized official on file is John Detelich, Ceo.
Overview
| NPI | 1205376191 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Tallahassee Diag Imaging Ctr Ltd |
| NPI issued | Feb 27, 2017 |
| Last updated in NPPES | Jun 16, 2021 |
| Certified by provider | Jun 16, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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