Organization Active NPI

Sadi

  • Diagnostic Radiology Physician
  • Marianna, FL
National Provider Identifier
1609217561
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SADI
Practice address
3015 Jefferson St
Suite E
Marianna, FL 32446-2339
Phone
(850) 526-2496
Fax
(850) 526-3853
NPI assigned
Jul 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Authorized official

Name
Dr. John C Tomberlin, MD
Title
Owner
Phone
(850) 526-2496

Specialties & licenses 1

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

Addresses

Primary practice location

3015 Jefferson St
Suite E
Marianna, FL 32446-2339

Mailing address

3015 Jefferson St
Suite E
Marianna, FL 32446-2339
Phone (850) 526-2496

Other identifiers 1

IdentifierTypeStateIssuer
047944606MedicaidFL

Other names 1

  • Marianna Open MRI Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1609217561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 JEFFERSON ST",
            "address_2": "SUITE E",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324462339",
            "telephone_number": "850-526-2496",
            "fax_number": "850-526-3853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 JEFFERSON ST",
            "address_2": "SUITE E",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324462339",
            "telephone_number": "850-526-2496",
            "fax_number": "850-526-3853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SADI",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-08",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "TOMBERLIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-526-2496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047944606",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marianna Open MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marianna, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.