Southeast Radiology Associates Pl
Southeast Radiology Associates Pl is a Body Imaging Physician in Lake City, Florida. Registered with an NPI since 2006.
- In the registry since
- 2006
- Specialties on file
- 7
Practice location Address checks out
340 NW Commerce DrLake City, FL 32055-4709
Phone: (386) 719-9000
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X |
|---|---|
| Body Imaging Physician | Taxonomy 2085B0100X |
| Neuroradiology Physician | Taxonomy 2085N0700X |
| Nuclear Radiology Physician | Taxonomy 2085N0904X |
| Pediatric Radiology Physician | Taxonomy 2085P0229X |
| Vascular & Interventional Radiology Physician | Taxonomy 2085R0204X |
| Diagnostic Ultrasound Physician | Taxonomy 2085U0001X |
Record details
| NPI number | 1467409631 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Detelich — Ceo · (850) 878-4127 |
| NPI enumerated | May 31, 2006 |
| Last updated in NPPES | October 17, 2007 |
| Mailing address | Po Box 2293, Lake City, FL 32056-2293 |