INNOVATIVE DIAGNOSTIC MEDICAL GROUP
NPI 1013131796
Physiological Laboratory in Los Angeles, CA
NPI Status: Active since April 12, 2007
Contact Information
1801 CENTURY PARK EAST
SUITE 1040
LOS ANGELES, CA
ZIP 90067
Phone: (310) 553-7980
Fax: (310) 943-3279
- Organization
- Physiological Laboratory
About INNOVATIVE DIAGNOSTIC MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Innovative Diagnostic Medical Group, a provider established in Los Angeles, California operating as a Physiological Laboratory. The healthcare provider is registered in the NPI registry with number 1013131796 assigned on April 2007. The practitioner's primary taxonomy code is 293D00000X with license number A44107 (CA). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Sean Ataee M.d. (Medical Director/owner)
- NPI
- 1013131796
- Provider Name
- INNOVATIVE DIAGNOSTIC MEDICAL GROUP
- Entity Type
- Organization
- Location Address
- 1801 CENTURY PARK EAST SUITE 1040 LOS ANGELES, CA 90067
- Location Phone
- (310) 553-7980
- Location Fax
- (310) 943-3279
- Mailing Address
- 1801 CENTURY PARK EAST SUITE 1040 LOS ANGELES, CA 90067
- Mailing Phone
- (310) 553-7980
- Mailing Fax
- (310) 943-3279
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-12-2007
- Last Update Date
- 12-16-2010
- 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
Physiological Laboratory
- Taxonomy Code
- 293D00000X
- Type
- Laboratories
- License No.
- A44107
- License State
- CA
- Taxonomy Description
- A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | A106704 (CA) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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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 | 1 | 3 | 1 | 3 | 1 | 7 | 9 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 2 | 3 | 2 | 3 | 2 | 7 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 2 + 3 + 2 + 3 + 2 + 7 + 1 + 8 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1013131796 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013131796, enumerated in the NPI registry as an "organization" on April 12, 2007
The provider is located at 1801 Century Park East Suite 1040 Los Angeles, Ca 90067 and the phone number is (310) 553-7980
This medical organization specializes in Physiological Laboratory with taxonomy code 293D00000X
This NPI record was last updated on April 12, 2007. 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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