SOURCE DIAGNOSTICS OF PENNSYLVANIA, LLC
NPI 1053619775
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Hermitage, PA

NPI Status: Active since March 03, 2011

Contact Information

175 SNYDER RD
HERMITAGE, PA
ZIP 16148
Phone: (440) 645-7822
Fax: (440) 542-9482

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  • Organization
  • Portable X-ray and/or Other Portable Dia...

About SOURCE DIAGNOSTICS OF PENNSYLVANIA, LLC

This page provides the complete NPI Profile along with additional information for Source Diagnostics Of Pennsylvania, Llc, a provider established in Hermitage, Pennsylvania operating as a Portable X-ray And/or Other Portable Diagnostic Imaging Supplier. The healthcare provider is registered in the NPI registry with number 1053619775 assigned on March 2011. The practitioner's primary taxonomy code is 335V00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Ms. Kathleen Ann Barry (C.o.o.)

NPI
1053619775
Provider Name
SOURCE DIAGNOSTICS OF PENNSYLVANIA, LLC
Entity Type
Organization
Location Address
175 SNYDER RD HERMITAGE, PA 16148
Location Phone
(440) 645-7822
Location Fax
(440) 542-9482
Mailing Address
5275 NAIMAN PKWY SUITE E SOLON, OH 44139
Mailing Phone
(440) 645-7822
Mailing Fax
(440) 542-9482
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-03-2011
Last Update Date
04-12-2012
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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

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

Taxonomy Code
335V00000X
Type
Suppliers
Taxonomy Description
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.

Insurance Plans Accepted

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

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

MS. KATHLEEN ANN BARRY

Authorized Official Title
C.O.O.
Authorized Official Phone
(440) 645-7822

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
234835MEDICARE PIN (08)PA 

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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.
1053619775
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2010312118714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 0 + 3 + 1 + 2 + 1 + 1 + 8 + 7 + 1 + 4 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1053619775 is valid because the calculated check digit 5 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
1346507019SOURCE DIAGNOSTICS OF PENNSYLVANIA, LLC
Organization
Clinic/Center (Radiology, Mobile)175 SNYDER RD
HERMITAGE, PA 16148
(866) 512-1515
1396180113 JOHN LOVE RPH
Individual
Pharmacist175 SNYDER RD
HERMITAGE, PA 16148
(724) 981-1181

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053619775, enumerated in the NPI registry as an "organization" on March 03, 2011

The provider is located at 175 Snyder Rd Hermitage, Pa 16148 and the phone number is (440) 645-7822

This medical organization specializes in Portable X-ray and/or Other Portable Diagnostic Imaging Supplier with taxonomy code 335V00000X

The provider might be accepting Accepts: Medicare and Medicaid. 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 March 03, 2011. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.