SPECTRUM MEDICAL IMAGING, LLC
NPI 1164881652
Radiology - Diagnostic Radiology in Brighton, CO

NPI Status: Active since February 12, 2016

Contact Information

1610 PRAIRIE CENTER PKWY
2100
BRIGHTON, CO
ZIP 80601
Phone: (720) 523-5720
Fax: (720) 523-0176

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  • Organization
  • Radiology
  • Diagnostic Radiology
  • CLIA Number: 06D2109761
  • CLIA Cert. Type: Other - FREE STANDING IMAGING CTR
  • CLIA Exp. Date: 02-28-2026

About SPECTRUM MEDICAL IMAGING, LLC

This page provides the complete NPI Profile along with additional information for Spectrum Medical Imaging, Llc, a provider established in Brighton, Colorado operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1164881652 assigned on February 2016. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 4 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 William Perry Baker Cpa, (Cfo)

NPI
1164881652
Provider Name
SPECTRUM MEDICAL IMAGING, LLC
Entity Type
Organization
Location Address
1610 PRAIRIE CENTER PKWY 2100 BRIGHTON, CO 80601
Location Phone
(720) 523-5720
Location Fax
(720) 523-0176
Mailing Address
800 CRESCENT CENTRE DR STE 400 FRANKLIN, TN 37067
Mailing Phone
(615) 261-2306
Mailing Fax
(720) 523-0176
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-12-2016
Last Update Date
06-22-2021
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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.

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.

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

WILLIAM PERRY BAKER CPA,

Authorized Official Title
CFO
Authorized Official Phone
(615) 550-6044

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
06D2109761
Facility Type
Other - FREE STANDING IMAGING CTR
Certificate Effective Date
March 01, 2024
Certificate Expiration Date
February 28, 2026
Laboratory Director
ERIC W. ROBBINS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Spectrum Medical Imaging, Llc 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.
1164881652
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211241682610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 1 + 6 + 8 + 2 + 6 + 1 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1164881652 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1619271699INTEGRATIVE INTERNAL MEDICINE AND MEDICAL ACUPUNCTURE INC
Organization
Internal Medicine1610 PRAIRIE CENTER PKWY STE 2170
BRIGHTON, CO 80601
(303) 659-4476
1093949620DR. JOHN JOSEPH MANGELSON M.D.
Individual
Orthopaedic Surgery (Hand Surgery)1610 PRAIRIE CENTER PKWY SUITE 2200
BRIGHTON, CO 80601
(303) 498-1885
1932746278PLATTE VALLEY MEDICAL GROUP LLC
Organization
Orthopaedic Surgery1610 PRAIRIE CENTER PKWY STE 2200
BRIGHTON, CO 80601
(303) 498-1885
1730384355MEDIZINE MAN INC.
Organization
Pharmacy (Community/Retail Pharmacy)1610 PRAIRIE CENTER PKWY SUITE 2110
BRIGHTON, CO 80601
(303) 483-7455

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164881652, enumerated in the NPI registry as an "organization" on February 12, 2016

The provider is located at 1610 Prairie Center Pkwy 2100 Brighton, Co 80601 and the phone number is (720) 523-5720

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

The provider's CLIA number is 06D2109761 for a "other - free standing imaging ctr" 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 February 12, 2016. 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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