Fort Walton Diagnostic Imaging Center LLC
NPI 1619920642 · Radiology Clinic/Center · Fort Walton Beach, FL
Fort Walton Diagnostic Imaging Center LLC is a Radiology Clinic/Center organization in Fort Walton Beach, FL (NPI 1619920642).
Provider details
- NPI number
- 1619920642
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gary Mcmichael, Member(850) 862-7070
- License
- HCC4489 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
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
- 2006-05-19
- Last updated
- 2025-09-11
Frequently asked questions
- What is Fort Walton Diagnostic Imaging Center LLC's NPI number?
- Fort Walton Diagnostic Imaging Center LLC's National Provider Identifier (NPI) is 1619920642, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fort Walton Diagnostic Imaging Center LLC?
- Fort Walton Diagnostic Imaging Center LLC is classified in the NPPES registry as Radiology Clinic/Center (Ambulatory Health Care Facilities).
- Where is Fort Walton Diagnostic Imaging Center LLC located?
- Fort Walton Diagnostic Imaging Center LLC's practice location on file with NPPES is 1112 Hospital Rd, Fort Walton Beach, FL 32547-6742.
- What is Fort Walton Diagnostic Imaging Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Fort Walton Diagnostic Imaging Center LLC is (850) 862-7070.
- Who is the authorized official for Fort Walton Diagnostic Imaging Center LLC?
- The authorized official listed on Fort Walton Diagnostic Imaging Center LLC's NPPES record is Gary Mcmichael, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fort Walton Diagnostic Imaging Center LLC's NPI active?
- Yes — Fort Walton Diagnostic Imaging Center LLC's NPI (1619920642) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.