Tallahassee Diag Imaging Ctr Ltd
NPI 1639129521 · Diagnostic Radiology Physician · Tallahassee, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tallahassee Diag Imaging Ctr Ltd is a Diagnostic Radiology Physician organization in Tallahassee, FL (NPI 1639129521).
Provider details
- NPI number
- 1639129521
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Detelich, Ceo(850) 671-6412
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
Other names (DBA / former)
- Doing business as
- Tallahassee Diagnostic Imaging Ltd
Registry dates
- Enumerated
- 2006-05-11
- Last updated
- 2017-05-19
Frequently asked questions
- What is Tallahassee Diag Imaging Ctr Ltd's NPI number?
- Tallahassee Diag Imaging Ctr Ltd's National Provider Identifier (NPI) is 1639129521, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tallahassee Diag Imaging Ctr Ltd?
- Tallahassee Diag Imaging Ctr Ltd is classified in the NPPES registry as Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Tallahassee Diag Imaging Ctr Ltd located?
- Tallahassee Diag Imaging Ctr Ltd's practice location on file with NPPES is 1600 Phillips Rd, Tallahassee, FL 32308-5304.
- What is Tallahassee Diag Imaging Ctr Ltd's phone number?
- The practice phone number listed in the NPPES registry for Tallahassee Diag Imaging Ctr Ltd is (850) 878-4127.
- Does Tallahassee Diag Imaging Ctr Ltd accept Medicare?
- Tallahassee Diag Imaging Ctr Ltd is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tallahassee Diag Imaging Ctr Ltd?
- The authorized official listed on Tallahassee Diag Imaging Ctr Ltd's NPPES record is John Detelich, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tallahassee Diag Imaging Ctr Ltd's NPI active?
- Yes — Tallahassee Diag Imaging Ctr Ltd's NPI (1639129521) is active in the NPPES registry as of the last update on 2017-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.