NORTH SHORE VASCULAR DIAGNOSTIC LABORATORY
NPI 1124037361
Physiological Laboratory in Beverly, MA
NPI Status: Active since August 05, 2006
Contact Information
75 HERRICK ST
SUITE 110 - PARKHURST MEDICAL BLDG.
BEVERLY, MA
ZIP 01915
Phone: (978) 922-5535
Fax: (978) 922-5667
- Organization
- Physiological Laboratory
About NORTH SHORE VASCULAR DIAGNOSTIC LABORATORY
This page provides the complete NPI Profile along with additional information for North Shore Vascular Diagnostic Laboratory, a provider established in Beverly, Massachusetts operating as a Physiological Laboratory. The healthcare provider is registered in the NPI registry with number 1124037361 assigned on August 2006. The practitioner's primary taxonomy code is 293D00000X with license number 35297 (MA). The provider is registered as an organization and their NPI record was last updated 7 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 North Shore Vascular Diagnostic Laboratory. The authorized official of this NPI record is Dr. Randolph David Maloney M.d. (Medical Director President)
- NPI
- 1124037361
- Provider Legal Name
- RANDOLPH D. MALONEY, M.D., PC
- Other Organization Name
- NORTH SHORE VASCULAR DIAGNOSTIC LABORATORY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 75 HERRICK ST SUITE 110 - PARKHURST MEDICAL BLDG. BEVERLY, MA 01915
- Location Phone
- (978) 922-5535
- Location Fax
- (978) 922-5667
- Mailing Address
- 75 HERRICK ST SUITE 110 - PARKHURST MEDICAL BLDG. BEVERLY, MA 01915
- Mailing Phone
- (978) 922-5535
- Mailing Fax
- (978) 922-5667
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-05-2006
- Last Update Date
- 06-21-2018
- 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.
- 35297
- License State
- MA
- 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 | 2471V0105X | Technologists, Technicians & Other Technical Service Providers | Radiologic Technologist | RDMS-RVT (MA) |
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:
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.
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.
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 |
|---|---|---|---|
| 021569 | OTHER (01) | MA | BLUECROSS/BLUESHIELD |
| 801461 | OTHER (01) | MA | TUFTS |
| ========= | OTHER (01) | MA | AETNA-US HEALTH |
| 606913 | OTHER (01) | MA | HARVARD PILGRAM |
| 9769706 | MEDICAID (05) | MA | |
| 33434 | OTHER (01) | MA | FALLON HEALTH |
| 950000914 | OTHER (01) | MA | RAILROAD MEDICARE |
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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 | 1 | 2 | 4 | 0 | 3 | 7 | 3 | 6 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 4 | 4 | 0 | 3 | 14 | 3 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 4 + 4 + 0 + 3 + 1 + 4 + 3 + 1 + 2 + 24 = 49 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 49 = 1 | 1 | ||||||||
The NPI number 1124037361 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1215908025 | ROBERT T FRITZ M.D. Individual | Otolaryngology | 75 HERRICK ST SUITE 113 BEVERLY, MA 01915 (978) 921-0944 |
| 1770537151 | DR. JAGRUTI PATEL M.D. Individual | Plastic Surgery | 75 HERRICK ST PARKHURST BUILDING BEVERLY, MA 01915 (978) 927-6556 |
| 1609823392 | WILLIAM GREGORY STINSON M.D. Individual | Ophthalmology | 75 HERRICK ST SUITE 215 BEVERLY, MA 01915 (978) 922-1390 |
| 1154368470 | DR. MAHESH PATEL M.D. Individual | Plastic Surgery | 75 HERRICK ST SUITE 105 BEVERLY, MA 01915 (978) 927-6556 |
| 1205866910 | ESSEX VITREORETINAL SERVICES, INC. Organization | Ophthalmology | 75 HERRICK ST SUITE 215 BEVERLY, MA 01915 (978) 922-1390 |
| 1487741815 | JOHN R DAINTON MD Individual | Otolaryngology | 75 HERRICK ST SUITE 216 BEVERLY, MA 01915 (978) 927-5611 |
| 1124180583 | DR. CHRISTINE CIERRA TENTINDO MD Individual | Pediatrics | 75 HERRICK ST #119 BEVERLY PEDIATRICS BEVERLY, MA 01915 (978) 922-3208 |
| 1619153897 | BEVERLY PEDIATRICS ASSOCIATION Organization | Pediatrics | 75 HERRICK ST SUITE 116 BEVERLY, MA 01915 (978) 922-3208 |
| 1053608083 | GENERATIONS DENTAL CENTER Organization | Dentist (Pediatric Dentistry) | 75 HERRICK ST SUITE 212 BEVERLY, MA 01915 (978) 921-7575 |
| 1255691556 | NORTH SHORE PREVENTIVE HEALTH CARE, P.C. Organization | Internal Medicine | 75 HERRICK ST SUITE 116 BEVERLY, MA 01915 (978) 502-8850 |
| 1689767758 | BEVERLY SURGICAL ASSOCIATES INC Organization | Surgery | 75 HERRICK ST SUITE 201 BEVERLY, MA 01915 (978) 927-4004 |
| 1821014457 | FRANCIS X CLEARY MD,FACC Individual | Internal Medicine (Cardiovascular Disease) | 75 HERRICK ST SUITE 206 BEVERLY, MA 01915 (978) 927-8400 |
| 1144240789 | LANCE A LARSEN MD,FACC Individual | Internal Medicine (Cardiovascular Disease) | 75 HERRICK ST SUITE 206 BEVERLY, MA 01915 (978) 927-8400 |
| 1770619363 | ALEXANDER DOUMAS M.D. Individual | Internal Medicine (Cardiovascular Disease) | 75 HERRICK ST SUITE 206 BEVERLY, MA 01915 (978) 927-8400 |
| 1437170263 | DR. JOHN S LEDBETTER MD Individual | Urology | 75 HERRICK ST STE 219 BEVERLY, MA 01915 (978) 927-0714 |
| 1720159627 | DANIEL SETH BLANDER MD Individual | Urology | 75 HERRICK ST SUITE 219 BEVERLY, MA 01915 (978) 927-0714 |
| 1902920630 | DR. MELINA AMY ILIEF ALA DMD Individual | Dentist (Pediatric Dentistry) | 75 HERRICK ST SUITE 212 BEVERLY, MA 01915 (978) 921-7575 |
| 1952618548 | DR. PAUL J ALA DMD Individual | Dentist | 75 HERRICK ST SUITE 212 BEVERLY, MA 01915 (978) 921-7575 |
| 1063964427 | LINDSAY WELENC Individual | Radiologic Technologist (Vascular Sonography) | 75 HERRICK ST SUITE110 BEVERLY, MA 01915 (978) 922-5535 |
| 1720010242 | DR. CAROL NARANJO M.D. Individual | Surgery | 75 HERRICK ST SUITE 201 BEVERLY, MA 01915 (978) 927-4004 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124037361, enumerated in the NPI registry as an "organization" on August 05, 2006
The provider is located at 75 Herrick St Suite 110 - Parkhurst Medical Bldg. Beverly, Ma 01915 and the phone number is (978) 922-5535
This medical organization specializes in Physiological Laboratory with taxonomy code 293D00000X
The provider might be accepting Accepts: Medicare, Medicaid, Tufts Health Plan, Aetna and. 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 August 05, 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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