KMA DIAGNOSTIC SPECIALTIES
NPI 1104934165
Physiological Laboratory in Lewisville, TX

NPI Status: Active since August 29, 2006

Contact Information

334 W MAIN ST
LEWISVILLE, TX
ZIP 75057
Phone: (972) 353-3200

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  • Organization
  • Physiological Laboratory

About KMA DIAGNOSTIC SPECIALTIES

This page provides the complete NPI Profile along with additional information for Kma Diagnostic Specialties, a provider established in Lewisville, Texas operating as a Physiological Laboratory. The healthcare provider is registered in the NPI registry with number 1104934165 assigned on August 2006. The practitioner's primary taxonomy code is 293D00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Tara Campbell Mauney (Director)

NPI
1104934165
Provider Name
KMA DIAGNOSTIC SPECIALTIES
Entity Type
Organization
Location Address
334 W MAIN ST LEWISVILLE, TX 75057
Location Phone
(972) 353-3200
Mailing Address
10300 N CENTRAL EXPY SUITE 205 DALLAS, TX 75231
Mailing Phone
(214) 382-1909
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-29-2006
Last Update Date
08-22-2020
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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

Physiological Laboratory

Taxonomy Code
293D00000X
Type
Laboratories
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.

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

TARA CAMPBELL MAUNEY

Authorized Official Title
DIRECTOR
Authorized Official Phone
(214) 382-1909

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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.
1104934165
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21041838112
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 1 + 8 + 3 + 8 + 1 + 1 + 2 + 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 1104934165 is valid because the calculated check digit 5 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 1104934165, enumerated in the NPI registry as an "organization" on August 29, 2006

The provider is located at 334 W Main St Lewisville, Tx 75057 and the phone number is (972) 353-3200

This medical organization specializes in Physiological Laboratory with taxonomy code 293D00000X

This NPI record was last updated on August 29, 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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