Active NPI
Tech Care X-Ray,LLC
- Radiologic Technologist
- Tallahassee, FL
National Provider Identifier
1639432040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- Legal business name
- TECH CARE X-RAY,LLC
- Practice address
- 3717 Carrington PL
Tallahassee, FL 32303-2041 - Phone
- (850) 562-1656
- Fax
- (850) 562-7209
- NPI assigned
- Jun 20, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Erin D Patterson-Bland
- Title
- Administration
- Phone
- (850) 562-1656
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | Primary | ||
| Radiography Radiologic Technologist | 2471C3402X | |||
| Mammography Radiologic Technologist | 2471M2300X | |||
| Sonography Radiologic Technologist | 2471S1302X |
Addresses
Primary practice location
3717 Carrington PL
Tallahassee, FL 32303-2041
Mailing address
106 W 5TH Ave
Tallahassee, FL 32303-6125
Phone (850) 562-1656
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130128000172 | FL | Part B Supplier - Portable X-Ray Supplier | 1153575238 | Practice locations: Tallahassee, FL |
National Provider Directory
National Provider DirectoryLocations
106 W 5th Ave
Tallahassee, FL 32303
Phone (850) 562-1656
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Radiography Radiologic Technologist
- Tallahassee, FL
- NPI 1871738237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340236800000",
"number": "1639432040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 W 5TH AVE",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323036125",
"telephone_number": "850-562-1656",
"fax_number": "850-562-7209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3717 CARRINGTON PL",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323032041",
"telephone_number": "850-562-1656",
"fax_number": "850-562-7209"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TECH CARE X-RAY,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-20",
"last_updated": "2012-06-21",
"status": "A",
"authorized_official_last_name": "PATTERSON-BLAND",
"authorized_official_first_name": "ERIN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "ADMINISTRATION",
"authorized_official_telephone_number": "850-562-1656",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "2471C3402X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Radiography",
"state": null,
"license": null,
"primary": false
},
{
"code": "2471M2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Mammography",
"state": null,
"license": null,
"primary": false
},
{
"code": "2471S1302X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Sonography",
"state": null,
"license": null,
"primary": false
}
],
"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 Jun 21, 2012; 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.