KETTERING INDEPENDENT MEDICAL GROUP INC
NPI 1609171255
Durable Medical Equipment & Medical Supplies in Vandalia, OH
NPI Status: Active since January 12, 2011
Contact Information
113 W NATIONAL RD
VANDALIA, OH
ZIP 45377
Phone: (937) 898-5615
- Organization
- Durable Medical Equipment & Medical Supp...
- CLIA Number: 36D2141111
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-30-2026
About KETTERING INDEPENDENT MEDICAL GROUP INC
This page provides the complete NPI Profile along with additional information for Kettering Independent Medical Group Inc, a provider established in Vandalia, Ohio operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1609171255 assigned on January 2011. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Timothy Y Ko (Cfo)
- NPI
- 1609171255
- Provider Name
- KETTERING INDEPENDENT MEDICAL GROUP INC
- Entity Type
- Organization
- Location Address
- 113 W NATIONAL RD VANDALIA, OH 45377
- Location Phone
- (937) 898-5615
- Mailing Address
- 1 PRESTIGE PL SUITE 550 MIAMISBURG, OH 45342
- Mailing Phone
- (937) 762-1306
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-12-2011
- Last Update Date
- 06-13-2023
- 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
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- Taxonomy Description
- A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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
- 36D2141111
- Facility Type
- Physician Office
- Certificate Effective Date
- October 01, 2024
- Certificate Expiration Date
- September 30, 2026
- Laboratory Director
- MARILYN JONES
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Kettering Independent Medical Group Inc 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 | 6 | 0 | 9 | 1 | 7 | 1 | 2 | 5 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 0 | 9 | 2 | 7 | 2 | 2 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 0 + 9 + 2 + 7 + 2 + 2 + 1 + 0 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1609171255 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1306823638 | USD DAYTON, INC. Organization | Clinic/Center (Radiology) | 113 W NATIONAL RD VANDALIA, OH 45377 (937) 898-9729 |
| 1740210277 | DR. ROBERT GLEN SICKINGER D.O. Individual | Internal Medicine (Pulmonary Disease) | 113 W NATIONAL RD VANDALIA, OH 45377 (937) 223-6837 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609171255, enumerated in the NPI registry as an "organization" on January 12, 2011
The provider is located at 113 W National Rd Vandalia, Oh 45377 and the phone number is (937) 898-5615
This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X
The provider's CLIA number is 36D2141111 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 January 12, 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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