SOURCE DIAGNOSTICS WEST LLC
NPI 1598063133
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Lq, CA
NPI Status: Active since March 07, 2011
- Organization
- Portable X-ray and/or Other Portable Dia...
About SOURCE DIAGNOSTICS WEST LLC
This page provides the complete NPI Profile along with additional information for Source Diagnostics West Llc, a provider established in Lq, California operating as a Portable X-ray And/or Other Portable Diagnostic Imaging Supplier. The healthcare provider is registered in the NPI registry with number 1598063133 assigned on March 2011. The practitioner's primary taxonomy code is 335V00000X with license number 00080313 (CA). The provider is registered as an organization and their NPI record was last updated 14 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 Mr. Paul J Mezacapa Rt. (r) Mr, Ct (Managing Member)
- NPI
- 1598063133
- Provider Name
- SOURCE DIAGNOSTICS WEST LLC
- Entity Type
- Organization
- Location Address
- 49440 VIA POMPA LQ, CA 92253
- Location Phone
- (760) 777-4352
- Mailing Address
- 49440 VIA POMPA LA QUINTA, CA 92253
- Mailing Phone
- (760) 777-4352
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-07-2011
- Last Update Date
- 05-18-2011
- 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
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Taxonomy Code
- 335V00000X
- Type
- Suppliers
- License No.
- 00080313
- License State
- CA
- Taxonomy Description
- A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.
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 | 246XS1301X | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist Cardiovascular | |
| 2 | 2471S1302X | Technologists, Technicians & Other Technical Service Providers | Radiologic Technologist | |
| 3 | 2471V0105X | Technologists, Technicians & Other Technical Service Providers | Radiologic Technologist |
Group Taxonomy 193400000X MULTIPLE 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.
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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 | 5 | 9 | 8 | 0 | 6 | 3 | 1 | 3 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 18 | 8 | 0 | 6 | 6 | 1 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 8 + 8 + 0 + 6 + 6 + 1 + 6 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1598063133 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 1598063133, enumerated in the NPI registry as an "organization" on March 07, 2011
The provider is located at 49440 Via Pompa Lq, Ca 92253 and the phone number is (760) 777-4352
This medical organization specializes in Portable X-ray and/or Other Portable Diagnostic Imaging Supplier with taxonomy code 335V00000X
This NPI record was last updated on March 07, 2011. 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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