Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Tallahassee Diag Imaging Ctr Ltd

Diagnostic Radiology Physician in Tallahassee, FL · enumerated 2006 · authorized official John Detelich, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639129521

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Registry record

Entity type Organization (Type 2)

Legal business name Tallahassee Diag Imaging Ctr Ltd

Other name <Unavail>

Practice address 1600 Phillips Rd, Tallahassee, FL, 32308

Phone (850) 878-4127

Fax (850) 878-9729

Enumeration date May 11, 2006

Last updated in NPPES May 19, 2017

Taxonomy & classification

2085B0100X Body Imaging Physician Allopathic & Osteopathic Physicians Secondary

2085N0700X Neuroradiology Physician Allopathic & Osteopathic Physicians Secondary

2085N0904X Nuclear Radiology Physician Allopathic & Osteopathic Physicians Secondary

2085P0229X Pediatric Radiology Physician Allopathic & Osteopathic Physicians Secondary

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians Primary

2085R0204X Vascular & Interventional Radiology Physician Allopathic & Osteopathic Physicians Secondary

2085U0001X Diagnostic Ultrasound Physician Allopathic & Osteopathic Physicians Secondary

2471C3401X Computed Tomography Radiologic Technologist Technologists, Technicians & Other Technical Service Providers Secondary

2471M1202X Magnetic Resonance Imaging Radiologic Technologist Technologists, Technicians & Other Technical Service Providers Secondary

Authorized official

Name John Detelich

Title Ceo

Phone (850) 671-6412

Other identifiers

Identifier	Type	State	Issuer
062730503	Medicaid	FL	-
V3052	Other	FL	BCBS
062730500	Medicaid	FL	-
CL1403	Other	FL	RR MEDICARE
98956	Other	FL	BC BS FL
V3053	Other	FL	BCBS
V3054	Other	FL	BCBS
062730502	Medicaid	FL	-
300038358C	Other	GA	GA MEDICAID

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2017-05-19. Verify at npiregistry.cms.hhs.gov.

Where is Tallahassee Diag Imaging Ctr Ltd located?

The practice location on file with NPPES is in Tallahassee, FL.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-05-19.