NPIMap

Organization Active NPI

Stand Up MRI of Tallahassee Inc

  • Diagnostic Radiology Physician
  • Tallahassee, FL
National Provider Identifier
1609841402
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
31470 Issued in FL
Legal business name
STAND UP MRI OF TALLAHASSEE INC
Practice address
2332 Capital Cir NE
Tallahassee, FL 32308-4308
Phone
(850) 385-6422
Fax
(850) 422-8993
NPI assigned
Feb 23, 2006
Last updated
Mar 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Authorized official

Name
Timothy Damadian
Title
Owner
Phone
(631) 694-2929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 31470 FL Primary

Addresses

Primary practice location

2332 Capital Cir NE
Tallahassee, FL 32308-4308

Mailing address

2332 Capital Cir NE
Tallahassee, FL 32308-4308
Phone (850) 385-6422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040108000113 FL Part B Supplier - Clinic/Group Practice 6608775630 Receives reassigned benefits from 14 practitioners
Practice locations: Tallahassee, FL
O20260423002339 NY Part B Supplier - Clinic/Group Practice 6608775630 Receives reassigned benefits from 1 practitioner
Practice locations: Melville, NY

National Provider Directory

National Provider Directory

Locations

2332 Capital Cir NE
Tallahassee, FL 32308
Phone (850) 385-6422

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1609841402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2332 CAPITAL CIR NE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084308",
            "telephone_number": "850-385-6422",
            "fax_number": "850-422-8993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2332 CAPITAL CIR NE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084308",
            "telephone_number": "850-385-6422",
            "fax_number": "850-422-8993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAND UP MRI OF TALLAHASSEE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "DAMADIAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-694-2929"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "31470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.