NPIMap

Organization Active NPI

Pensacola Diagnostic Radiography, Inc.

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Pace, FL
National Provider Identifier
1629286240
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
License
JR3105700 Issued in FL
Legal business name
PENSACOLA DIAGNOSTIC RADIOGRAPHY, INC.
Practice address
4315 Sugar Mill BND
Pace, FL 32571-8646
Phone
(850) 206-7660
Fax
(850) 637-8044
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Authorized official

Name
Tammy Griffin
Title
Owner
Phone
(850) 206-7660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X JR3105700 FL Primary

Addresses

Primary practice location

4315 Sugar Mill BND
Pace, FL 32571-8646

Mailing address

4315 Sugar Mill BND
Pace, FL 32571-8646
Phone (850) 206-7660

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1629286240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 SUGAR MILL BND",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325718646",
            "telephone_number": "850-206-7660",
            "fax_number": "850-637-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 SUGAR MILL BND",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325718646",
            "telephone_number": "850-206-7660",
            "fax_number": "850-637-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENSACOLA DIAGNOSTIC RADIOGRAPHY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-206-7660"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "FL",
            "license": "JR3105700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.