Provider Demographics
NPI:1326023284
Name:AMERICAN HEALTH IMAGING OF FLORIDA LLC
Entity Type:Organization
Organization Name:AMERICAN HEALTH IMAGING OF FLORIDA LLC
Other - Org Name:TALLAHASSEE HEALTH IMAGING LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:WARREN
Authorized Official - Last Name:ARANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-296-5887
Mailing Address - Street 1:PO BOX 933367
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:31193-3367
Mailing Address - Country:US
Mailing Address - Phone:404-296-5887
Mailing Address - Fax:404-296-3129
Practice Address - Street 1:2510 MICCOSUKEE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-5473
Practice Address - Country:US
Practice Address - Phone:850-942-1100
Practice Address - Fax:850-942-1144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-13
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE9137Medicare PIN