Tallahassee Diagnostic Imaging LTD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

TALLAHASSEE DIAGNOSTIC IMAGING LTD

Doing business as

Tallahassee Diagnostic Imaging (TDI)

Practice address

15 Council Moore Rd
Crawfordville, FL 32327-3117

Phone

(850) 926-1259

Fax

(850) 926-1679

NPI assigned

May 22, 2006

Last updated

Oct 17, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

TALLAHASSEE DIAGNOSTIC IMAGING LTDAs reported in NPPES

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

Authorized official

Name

Cara Fowler

Title

Ceo

Phone

(850) 671-6412

Specialties & licenses 9

Addresses

Other identifiers 2

Other names 1

• Tallahassee Diagnostic Imaging (TDI) Doing business as

Part of

Tallahassee Diagnostic

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Tallahassee Diagnostic Imaging LTD

  • Diagnostic Radiology Physician
  • Tallahassee, FL
  • NPI 1215631395
  NPPES parent name

Practitioners 1

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.

• Ajay K Verma, MD

  • Diagnostic Radiology Physician
  • Lakeland, FL
  • NPI 1477580520

  Body Imaging

  NPD (past)

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1700830890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13551",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323173551",
            "telephone_number": "850-878-4102",
            "fax_number": "850-942-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 COUNCIL MOORE RD",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323273117",
            "telephone_number": "850-926-1259",
            "fax_number": "850-926-1679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALLAHASSEE DIAGNOSTIC IMAGING LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TALLAHASSEE DIAGNOSTIC IMAGING LTD",
        "enumeration_date": "2006-05-22",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "CARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-671-6412"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Neuroradiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Nuclear Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Pediatric Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Therapeutic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471C3401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Computed Tomography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "V3086",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062730501",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tallahassee Diagnostic Imaging (TDI)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diana V Strickland, L.M.T.
• Libbie Stroud, LPN, IBCLC, CLC
• Landie Sufralien
• Shari D Sylvia, RPH
• T&a Lifted Living LLC
• Tallahassee Memorial Healthcare Inc
• Tallahassee Memorial Healthcare Inc (Physician Partners Wakulla-NR)
• Tallahassee Orthopedic & Sports Physical Therapy
• Tallahassee Podiatry Associates PA
• Tara Nicole Williams LLC (Next Level Transit)

• Diagnostic Radiology Physician in Crawfordville, FL
• Providers in Crawfordville, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.