Panhandle Diagnostics LLC

Sonography Radiologic Technologist · Crestview, FL

Organization Active NPI

NPI number 1366203655

Practice location

502 S Main St
Crestview, FL 32536-4250
Phone
(850) 401-2418

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NPI record

NPI
1366203655
Entity type
Organization (Type 2)
Enumeration date
January 23, 2024
Last updated
January 23, 2024
Certified
January 23, 2024
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Sonography Radiologic Technologist Primary 2471S1302X — —

Mailing address

5736 Griffith Cemetery Rd
Baker, FL 32531-8402
Phone
(850) 401-2418

Authorized official

Name
Kelley Brooke Moss, RDMS/RVT
Title
CEO
Phone
(850) 398-0108

Other names

  • Panhandle Diagnostics

About Panhandle Diagnostics LLC

Panhandle Diagnostics LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Sonography Radiologic Technologist (code 2471S1302X). The practice location is 502 S Main St, Crestview, FL 32536-4250. The NPI number 1366203655 was assigned on January 23, 2024 and the record was last updated on January 23, 2024.

The authorized official for this organization is Kelley Brooke Moss, RDMS/RVT, CEO.

Frequently asked questions

What is the NPI number of Panhandle Diagnostics LLC?

The NPI number is 1366203655.

What is the phone number of Panhandle Diagnostics LLC?

The phone number listed for the practice location is (850) 401-2418.

Where is Panhandle Diagnostics LLC located?

502 S Main St, Crestview, FL 32536-4250.

What is the taxonomy code for Panhandle Diagnostics LLC?

The primary taxonomy code is 2471S1302X – Sonography Radiologic Technologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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