SPINE INNOVATIONS, LLC
NPI 1639339021
Physiological Laboratory in Little Rock, AR

NPI Status: Active since June 10, 2008

Contact Information

11912 KANIS RD STE F8
LITTLE ROCK, AR
ZIP 72211
Phone: (501) 255-1580

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  • Organization
  • Physiological Laboratory

About SPINE INNOVATIONS, LLC

This page provides the complete NPI Profile along with additional information for Spine Innovations, Llc, a provider established in Little Rock, Arkansas operating as a Physiological Laboratory. The healthcare provider is registered in the NPI registry with number 1639339021 assigned on June 2008. The practitioner's primary taxonomy code is 293D00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mr. Robert D Mazzarella (President)

NPI
1639339021
Provider Name
SPINE INNOVATIONS, LLC
Entity Type
Organization
Location Address
11912 KANIS RD STE F8 LITTLE ROCK, AR 72211
Location Phone
(501) 255-1580
Mailing Address
11912 KANIS RD STE F8 LITTLE ROCK, AR 72211
Mailing Phone
(501) 255-1580
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-10-2008
Last Update Date
06-10-2008
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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

Physiological Laboratory

Taxonomy Code
293D00000X
Type
Laboratories
Taxonomy Description
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

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

MR. ROBERT D MAZZARELLA

Authorized Official Title
PRESIDENT
Authorized Official Phone
(501) 255-1580

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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.
1639339021
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669631804
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 6 + 3 + 1 + 8 + 0 + 4 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1639339021 is valid because the calculated check digit 1 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 1639339021, enumerated in the NPI registry as an "organization" on June 10, 2008

The provider is located at 11912 Kanis Rd Ste F8 Little Rock, Ar 72211 and the phone number is (501) 255-1580

This medical organization specializes in Physiological Laboratory with taxonomy code 293D00000X

This NPI record was last updated on June 10, 2008. 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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