Radiology Associates of Tallahassee, PA
NPI 1417525494ActiveOrganization· Radiology, Diagnostic Radiology· Marianna, FL
Radiology, Diagnostic Radiology in Marianna, Florida, registered in NPPES in June 2021, part of Radiology Associates of Tallahassee, PA. The authorized official on file is John R. Detelich, Ceo.
Overview
| NPI | 1417525494 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Radiology Associates of Tallahassee, PA |
| NPI issued | Jun 15, 2021 |
| Last updated in NPPES | Jun 15, 2021 |
| Certified by provider | Jun 15, 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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