Organization Active NPI

Tech Care X-Ray,LLC

  • Radiologic Technologist
  • Tallahassee, FL
National Provider Identifier
1639432040
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
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

Updated by the provider on Jun 21, 2012

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)CodeLicenseStatePrimary
Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 247100000X Primary
Radiography Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471C3402X
Mammography Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471M2300X
Sonography Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20130128000172 FL Part B Supplier - Portable X-Ray Supplier 1153575238 Practice locations: Tallahassee, FL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.