MID MISSOURI ORTHOTICS & PROSTHETICS
NPI 1003271768
Durable Medical Equipment & Medical Supplies in Rolla, MO
NPI Status: Active since December 23, 2015
Contact Information
1811 MARTIN SPRINGS DR
SUITE C
ROLLA, MO
ZIP 65401
Phone: (573) 364-8480
Fax: (573) 364-8409
- Organization
- Durable Medical Equipment & Medical Supp...
- CLIA Number: 26D0928353
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-14-2026
About MID MISSOURI ORTHOTICS & PROSTHETICS
This page provides the complete NPI Profile along with additional information for Mid Missouri Orthotics & Prosthetics, a provider established in Rolla, Missouri operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1003271768 assigned on December 2015. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Mid Missouri Orthotics & Prosthetics. The authorized official of this NPI record is Mr. Shawn Bright Cpo (Owner)
- NPI
- 1003271768
- Provider Legal Name
- MID-MO O&P LLC
- Other Organization Name
- MID MISSOURI ORTHOTICS & PROSTHETICS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1811 MARTIN SPRINGS DR SUITE C ROLLA, MO 65401
- Location Phone
- (573) 364-8480
- Location Fax
- (573) 364-8409
- Mailing Address
- 1101 LAKEVIEW AVE COLUMBIA, MO 65201
- Mailing Phone
- (573) 441-0742
- Mailing Fax
- (573) 364-8409
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-23-2015
- Last Update Date
- 01-28-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- Taxonomy Description
- A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 26D0928353
- Facility Type
- Physician Office
- Certificate Effective Date
- October 15, 2024
- Certificate Expiration Date
- October 14, 2026
- Laboratory Director
- DR. JAIME M. HOGERTY
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Mid Missouri Orthotics & Prosthetics on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 0 | 0 | 3 | 2 | 7 | 1 | 7 | 6 | 8 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 0 | 0 | 3 | 4 | 7 | 2 | 7 | 12 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 0 + 0 + 3 + 4 + 7 + 2 + 7 + 1 + 2 + 24 = 52 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 52 = 8 | 8 |
The NPI number 1003271768 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1720084924 | JIM VERHOFF AND ASSOCIATES Organization | Prosthetic/Orthotic Supplier | 1811 MARTIN SPRINGS DR SUITE C ROLLA, MO 65401 (573) 364-8480 |
1578822037 | JIM VERHOFF AND ASSOCIATES Organization | Prosthetic/Orthotic Supplier | 1811 MARTIN SPRINGS DR SUITE C ROLLA, MO 65401 (573) 634-8480 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003271768, enumerated in the NPI registry as an "organization" on December 23, 2015
The provider is located at 1811 Martin Springs Dr Suite C Rolla, Mo 65401 and the phone number is (573) 364-8480
This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X
The provider's CLIA number is 26D0928353 for a "physician office" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on December 23, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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