SOUTHEAST RADIOLOGY PARTNERS LTD – NPI #1336866292
Radiology

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Health Care Provider Taxonomy Code for Radiology

SOUTHEAST RADIOLOGY PARTNERS LTD is a radiologist located in TALLAHASSEE, FL. NPPES has assigned the NPI number 1336866292 to SOUTHEAST RADIOLOGY PARTNERS LTD on October 21, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0204X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Vascular & Interventional Radiology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHEAST RADIOLOGY PARTNERS LTD below.

NPI Profile for
SOUTHEAST RADIOLOGY PARTNERS LTD

NPI Number
1336866292
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHEAST RADIOLOGY PARTNERS LTD
Primary location
1600 PHILLIPS RD
TALLAHASSEE, FL 32308-5304
Phone: (316) 685-2371 Fax:
Mailing address
PO BOX 25335
TAMPA, FL 33622-5335
Phone: Fax:
Organization Subpart
No
Authorized Official
JOHN DETELICH
CEO
Phone: (850) 878-4127
Updated
Certification Date
Oct 21, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0204X
- Radiology / Vascular & Interventional Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.