Southeast Radiology Associates Pl
NPI 1467409631 · Diagnostic Radiology Physician · Lake City, FL
Southeast Radiology Associates Pl is a Diagnostic Radiology Physician organization in Lake City, FL (NPI 1467409631).
Provider details
- NPI number
- 1467409631
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Detelich, Ceo(850) 878-4127
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Body Imaging Physician2085B0100X
Allopathic & Osteopathic Physicians
- Neuroradiology Physician2085N0700X
Allopathic & Osteopathic Physicians
- Nuclear Radiology Physician2085N0904X
Allopathic & Osteopathic Physicians
- Pediatric Radiology Physician2085P0229X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Diagnostic Ultrasound Physician2085U0001X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-31
- Last updated
- 2007-10-17
Frequently asked questions
- What is Southeast Radiology Associates Pl's NPI number?
- Southeast Radiology Associates Pl's National Provider Identifier (NPI) is 1467409631, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeast Radiology Associates Pl?
- Southeast Radiology Associates Pl is classified in the NPPES registry as Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Southeast Radiology Associates Pl located?
- Southeast Radiology Associates Pl's practice location on file with NPPES is 340 Nw Commerce Dr, Lake City, FL 32055-4709.
- What is Southeast Radiology Associates Pl's phone number?
- The practice phone number listed in the NPPES registry for Southeast Radiology Associates Pl is (386) 719-9000.
- Who is the authorized official for Southeast Radiology Associates Pl?
- The authorized official listed on Southeast Radiology Associates Pl's NPPES record is John Detelich, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeast Radiology Associates Pl's NPI active?
- Yes — Southeast Radiology Associates Pl's NPI (1467409631) is active in the NPPES registry as of the last update on 2007-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.