Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tallahassee Diag Imaging Ctr Ltd

Organization Diagnostic Radiology Physician · NPI 1073288817

Tallahassee Diag Imaging Ctr Ltd is a Diagnostic Radiology Physician in Tallahassee, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1300 Miccosukee Rd
Tallahassee, FL 32308-5054
Phone: (850) 431-4120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1073288817
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Detelich — Ceo · (850) 878-4127
NPI enumeratedAugust 13, 2021
Last updated in NPPESFebruary 12, 2022
Certification dateFebruary 12, 2022
Mailing addressPo Box 21348, Tampa, FL 33622-1348

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