| Organization Name: | TRICOH DIAGNOSTICS |
| NPI Number: | 1376947838 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TODD ALLEN BLACKWOOD (OWNER) |
| Mailing Address: | 12004 Race Track Rd Tampa |
| State: | FL US |
| Postal Code: | 336263109 |
| Phone Number: | 8139022640 |
| Fax Number: | 8138144080 |
| NPI Enumeration Date: | 10/13/2014 |
| NPI Last Update Date: | 10/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246Z00000X |
| License Number: | ME78386 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Specialist/Technologist, Other |
| Taxonomy Specialization: | |
| Taxonomy Definition: | General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |