INMED DIAGNOSTIC SERVICES OF CENTRAL FLORIDA LLC
NPI 1568772564
Clinic/Center - Radiology, Mobile in Kissimmee, FL

NPI Status: Active since October 12, 2010

Contact Information

1503 W OAK ST
KISSIMMEE, FL
ZIP 34741
Phone: (407) 847-8864
Fax: (404) 847-5137

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  • Organization
  • Clinic/Center
  • Radiology, Mobile
  • CLIA Number: 42D1060447
  • CLIA Cert. Type: Other - IDTF
  • CLIA Exp. Date: 01-10-2027

About INMED DIAGNOSTIC SERVICES OF CENTRAL FLORIDA LLC

This page provides the complete NPI Profile along with additional information for Inmed Diagnostic Services Of Central Florida Llc, a provider established in Kissimmee, Florida operating as a Clinic/center, focusing in radiology, mobile . The healthcare provider is registered in the NPI registry with number 1568772564 assigned on October 2010. The practitioner's primary taxonomy code is 261QR0208X with license number 11111122 (FL). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Robert E Adams (President)

NPI
1568772564
Provider Name
INMED DIAGNOSTIC SERVICES OF CENTRAL FLORIDA LLC
Entity Type
Organization
Location Address
1503 W OAK ST KISSIMMEE, FL 34741
Location Phone
(407) 847-8864
Location Fax
(404) 847-5137
Mailing Address
126 S ASSEMBLY ST COLUMBIA, SC 29201
Mailing Phone
(803) 988-1093
Mailing Fax
(404) 847-5137
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-12-2010
Last Update Date
10-12-2010
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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

Clinic/Center Radiology, Mobile

Taxonomy Code
261QR0208X
Type
Ambulatory Health Care Facilities
License No.
11111122
License State
FL

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

ROBERT E ADAMS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(803) 988-1093

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
42D1060447
Facility Type
Other - IDTF
Certificate Effective Date
January 11, 2025
Certificate Expiration Date
January 10, 2027
Laboratory Director
RICKY D. MOORE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Inmed Diagnostic Services Of Central Florida 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.
1568772564
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251281474512
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 4 + 7 + 4 + 5 + 1 + 2 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1568772564 is valid because the calculated check digit 4 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
1285688127NAVIX IMAGING INC
Organization
Radiology (Diagnostic Radiology)1503 W OAK ST
KISSIMMEE, FL 34741
(407) 847-8864
1851484067 FENTON E FROOM M.D.
Individual
Clinic/Center (Radiology)1503 W OAK ST
KISSIMMEE, FL 34741
(800) 330-1984
1427207240SOCA IMAGING INC
Organization
Radiology (Diagnostic Radiology)1503 W OAK ST
KISSIMMEE, FL 34741
(407) 847-8864
1588985535INMED DIAGNOSTIC SERVICES OF CENTRAL FLORIDA LLC
Organization
Clinic/Center (Magnetic Resonance Imaging (MRI))1503 W OAK ST
KISSIMMEE, FL 34741
(407) 847-8864

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568772564, enumerated in the NPI registry as an "organization" on October 12, 2010

The provider is located at 1503 W Oak St Kissimmee, Fl 34741 and the phone number is (407) 847-8864

This medical organization specializes in Clinic/Center with taxonomy code 261QR0208X with a focus in Radiology, Mobile

The provider's CLIA number is 42D1060447 for a "other - idtf" 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 12, 2010. 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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