MID-KANSAS INTERVENTIONAL MONITORING
NPI 1134631153
Electrodiagnostic Medicine in Wichita, KS
NPI Status: Active since October 31, 2017
Contact Information
3226 N GREY MEADOW ST
WICHITA, KS
ZIP 67205
Phone: (214) 269-3875
Fax: (903) 328-6568
- Organization
- Electrodiagnostic Medicine
- CLIA Number: 17D0674239
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-07-2026
About MID-KANSAS INTERVENTIONAL MONITORING
This page provides the complete NPI Profile along with additional information for Mid-kansas Interventional Monitoring, a provider established in Wichita, Kansas operating as a Electrodiagnostic Medicine. The healthcare provider is registered in the NPI registry with number 1134631153 assigned on October 2017. The practitioner's primary taxonomy code is 204R00000X. The provider is registered as an organization and their NPI record was last updated 8 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 Gina Sullivan (Billing Manager)
- NPI
- 1134631153
- Provider Name
- MID-KANSAS INTERVENTIONAL MONITORING
- Entity Type
- Organization
- Location Address
- 3226 N GREY MEADOW ST WICHITA, KS 67205
- Location Phone
- (214) 269-3875
- Location Fax
- (903) 328-6568
- Mailing Address
- PO BOX 268953 OKLAHOMA CITY, OK 73126
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-31-2017
- Last Update Date
- 10-31-2017
- 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
Electrodiagnostic Medicine
- Taxonomy Code
- 204R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Electrodiagnostic medicine is the medical subspecialty that applies neurophysiologic techniques to diagnose, evaluate, and treat patients with impairments of the neurologic, neuromuscular, and/or muscular systems. Qualified physicians are trained in performing electrophysiological testing and interpretation of the test data. They require knowledge in anatomy, physiology, kinesiology, histology, and pathology of the brain, spinal cord, autonomic nerves, cranial nerves, peripheral nerves, neuromuscular junction, and muscles. They must know clinical features and treatment of diseases of the central, peripheral, and autonomic nervous systems, as well as those of neuromuscular junction and muscle. Physicians also require special knowledge about electric signal processing, including waveform analysis, electronics and instrumentation, stimulation and recording equipment, and statistics.
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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 17D0674239
- Facility Type
- Physician Office
- Certificate Effective Date
- July 08, 2024
- Certificate Expiration Date
- July 07, 2026
- Laboratory Director
- RACHEL STUCKY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mid-kansas Interventional Monitoring to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 | 3 | 4 | 6 | 3 | 1 | 1 | 5 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 6 | 4 | 12 | 3 | 2 | 1 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 6 + 4 + 1 + 2 + 3 + 2 + 1 + 1 + 0 + 24 = 47 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 47 = 3 | 3 | ||||||||
The NPI number 1134631153 is valid because the calculated check digit 3 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 1134631153, enumerated in the NPI registry as an "organization" on October 31, 2017
The provider is located at 3226 N Grey Meadow St Wichita, Ks 67205 and the phone number is (214) 269-3875
This medical organization specializes in Electrodiagnostic Medicine with taxonomy code 204R00000X
The provider's CLIA number is 17D0674239 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on October 31, 2017. 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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