Organization Active NPI

Intellirad Imaging, LLC

  • Diagnostic Radiology Physician
  • Pensacola, FL
National Provider Identifier
1073312732
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
INTELLIRAD IMAGING, LLC
Practice address
1190 E Nine Mile Rd
Pensacola, FL 32514-1651
Phone
(850) 494-4600
NPI assigned
Mar 13, 2025
Organization subpart
Yes
Parent organization
INTELLIRAD IMAGING, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ronald Joseph
Title
Partner
Phone
(305) 712-7229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

1190 E Nine Mile Rd
Pensacola, FL 32514-1651

Mailing address

PO Box 7623
Naples, FL 34101-7623

National Provider Directory

National Provider Directory
Tax ID family
Intellirad Imaging LLC27 organizations share this tax ID, including this one
Part of
Intellirad Imaging LLC

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1073312732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7623",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341017623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 E NINE MILE RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325141651",
            "telephone_number": "850-494-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTELLIRAD IMAGING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTELLIRAD IMAGING, LLC",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "305-712-7229"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.