CLARKSVILLE IMAGING CENTER
NPI 1043285539
Radiology - Diagnostic Radiology in Clarksville, TN

NPI Status: Active since February 20, 2006

Contact Information

2320 WILMA RUDOLPH BLVD
CLARKSVILLE, TN
ZIP 37040
Phone: (931) 245-6736

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  • Organization
  • Radiology
  • Diagnostic Radiology
  • Accepts Insurance

About CLARKSVILLE IMAGING CENTER

This page provides the complete NPI Profile along with additional information for Clarksville Imaging Center, a provider established in Clarksville, Tennessee operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1043285539 assigned on February 2006. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 3 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 provider's is doing business as Clarksville Imaging Center. The authorized official of this NPI record is Gabriel Edward Starace (Authorized Official)

NPI
1043285539
Provider Legal Name
CLARKSVILLE IMAGING CENTER LLC
Other Organization Name
CLARKSVILLE IMAGING CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2320 WILMA RUDOLPH BLVD CLARKSVILLE, TN 37040
Location Phone
(931) 245-6736
Mailing Address
PO BOX 249 GOODLETTSVILLE, TN 37070
Mailing Phone
(615) 851-6033
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-20-2006
Last Update Date
06-27-2022
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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

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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)
1174400000XOther Service Providers

Specialist

 

Group Taxonomy 193400000X 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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Connect Bronze 3500 Indiv Med Deductible Enhanced Diabetes Care - EPO
  • Connect Bronze 7500 Indiv Med Deductible - EPO
  • Connect Bronze 8500 Indiv Med Deductible - EPO
  • Connect Bronze CMS Standard - EPO
  • Connect Gold CMS Standard - EPO
  • Connect Silver 2500 Indiv Med Deductible Enhanced Diabetes Care - EPO
  • Connect Silver 2875 Indiv Med Deductible - EPO
  • Connect Silver 3825 Indiv Med Deductible - EPO
  • Connect Silver CMS Standard - EPO
  • UHC Bronze Copay Focus (No Referrals) - EPO
  • UHC Bronze Standard (No Referrals) - EPO
  • UHC Bronze Value (No Referrals) - EPO
  • UHC Gold Advantage+ (Dental + Vision, No Referrals) - EPO
  • UHC Gold Copay Focus (No Referrals) - EPO
  • UHC Gold Standard (No Referrals) - EPO
  • UHC Silver Advantage (No Referrals) - EPO
  • UHC Silver Advantage+ (Dental + Vision, No Referrals) - EPO
  • UHC Silver Copay Focus (No Referrals) - EPO
  • UHC Silver Standard (No Referrals) - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GABRIEL EDWARD STARACE

Authorized Official Title
AUTHORIZED OFFICIAL
Authorized Official Phone
(615) 851-6033

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
4034353OTHER (01)BCBS
CK9332OTHER (01)RAILROAD MEDICARE
3376506MEDICAID (05)TN 

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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.
1043285539
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2083481056
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 8 + 3 + 4 + 8 + 1 + 0 + 5 + 6 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1043285539 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1265471932DR. TIMOTHY L OBERNUEFEMANN M.D.
Individual
Emergency Medicine2320 WILMA RUDOLPH BLVD
CLARKSVILLE, TN 37040
(931) 645-1564
1396784138DR. RANDALL E ELLIS M.D.
Individual
Emergency Medicine2320 WILMA RUDOLPH BLVD
CLARKSVILLE, TN 37040
(931) 645-1564
1548346166 JACQUELINE R MARCO PA-C
Individual
Physician Assistant (Medical)2320 WILMA RUDOLPH BLVD
CLARKSVILLE, TN 37040
(931) 645-1564
1427115260MR. LOUIS D COULY PA
Individual
Physician Assistant2320 WILMA RUDOLPH BLVD
CLARKSVILLE, TN 37040
(931) 645-1564
1346295425DR. STEPHEN WARREN KENT M.D.
Individual
Emergency Medicine2320 WILMA RUDOLPH BLVD
CLARKSVILLE, TN 37040
(931) 645-1564
1649226606AMBULATORY AND OCCUPATIONAL HEALTH CLINIC PC
Organization
Clinic/Center (Urgent Care)2320 WILMA RUDOLPH BLVD
CLARKSVILLE, TN 37040
(931) 645-1564
1851538177MR. TRUMAN ADOLF GARTMAN III PHYSICIAN ASSISTANT
Individual
Physician Assistant2320 WILMA RUDOLPH BLVD
CLARKSVILLE, TN 37040
(931) 645-1564

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043285539, enumerated in the NPI registry as an "organization" on February 20, 2006

The provider is located at 2320 Wilma Rudolph Blvd Clarksville, Tn 37040 and the phone number is (931) 245-6736

This medical organization specializes in Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology

The provider might be accepting Accepts: Cigna Healthcare, UnitedHealthcare, Blue Cross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on February 20, 2006. 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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