NPIMap

Organization Active NPI

Florida Diagnostic Imaging Center

  • Diagnostic Radiology Physician
  • Tallahassee, FL
National Provider Identifier
1750353629
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
FLORIDA DIAGNOSTIC IMAGING CENTER
Practice address
2457 Care Dr
Suite D-100
Tallahassee, FL 32308-4580
Phone
(850) 671-7260
Fax
(850) 671-7265
NPI assigned
Feb 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
Mr. Daniel J Schaefer
Title
Coo
Phone
(770) 300-0101

Specialties & licenses 1

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

Addresses

Primary practice location

2457 Care Dr
Suite D-100
Tallahassee, FL 32308-4580

Mailing address

3480 Preston Ridge Rd Ste 600
Credentialing Dept
Alpharetta, GA 30005-5462
Phone (770) 300-0101

Other names 1

  • Centre Pointe Diagnostic Imaging Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Florida Diagnostic Imaging Center Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4511 N Davis Hwy
Ste 1B
Pensacola, FL 32503
Phone (850) 484-8454

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1750353629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 PRESTON RIDGE RD STE 600",
            "address_2": "CREDENTIALING DEPT",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055462",
            "telephone_number": "770-300-0101",
            "fax_number": "770-300-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2457 CARE DR",
            "address_2": "SUITE D-100",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084580",
            "telephone_number": "850-671-7260",
            "fax_number": "850-671-7265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA DIAGNOSTIC IMAGING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-06",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "770-300-0101",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centre Pointe Diagnostic Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 18, 2008; 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.