MEMORIAL HERMANN IMAGING CENTER-UPPER KIRBY
NPI 1639343635
Physiological Laboratory in Houston, TX
NPI Status: Active since April 22, 2008
Contact Information
2900 RICHMOND AVE
HOUSTON, TX
ZIP 77098
Phone: (713) 512-6000
Fax: (713) 338-4158
- Organization
- Physiological Laboratory
- CLIA Number: 45D2065047
- CLIA Cert. Type: Other - OUTPATIENT IMAGING CENTER
- CLIA Exp. Date: 09-02-2025
About MEMORIAL HERMANN IMAGING CENTER-UPPER KIRBY
This page provides the complete NPI Profile along with additional information for Memorial Hermann Imaging Center-upper Kirby, a provider established in Houston, Texas operating as a Physiological Laboratory. The healthcare provider is registered in the NPI registry with number 1639343635 assigned on April 2008. The practitioner's primary taxonomy code is 293D00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Memorial Hermann Imaging Center-upper Kirby. The authorized official of this NPI record is Mr. Dennis Laraway (Cfo)
- NPI
- 1639343635
- Provider Legal Name
- MEMORIAL HERMANN HEALTH SYSTEM
- Other Organization Name
- MEMORIAL HERMANN IMAGING CENTER-UPPER KIRBY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2900 RICHMOND AVE HOUSTON, TX 77098
- Location Phone
- (713) 512-6000
- Location Fax
- (713) 338-4158
- Mailing Address
- PO BOX 301208 DALLAS, TX 75303
- Mailing Phone
- (713) 338-4127
- Mailing Fax
- (713) 338-4158
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-22-2008
- Last Update Date
- 06-27-2014
- 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
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.
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 | 261QR0200X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| FTA138 | MEDICARE PIN (08) |
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
- 45D2065047
- Facility Type
- Other - OUTPATIENT IMAGING CENTER
- Certificate Effective Date
- September 03, 2023
- Certificate Expiration Date
- September 02, 2025
- Laboratory Director
- BRIAN N. CHANG
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Memorial Hermann Imaging Center-upper Kirby 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 | 3 | 9 | 3 | 4 | 3 | 6 | 3 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 6 | 4 | 6 | 6 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 6 + 4 + 6 + 6 + 6 + 24 = 75 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 75 = 5 | 5 | ||||||||
The NPI number 1639343635 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 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1417966052 | DR. LAWRENCE HURDISS M.D. Individual | Radiology (Diagnostic Radiology) | 2900 RICHMOND AVE HOUSTON, TX 77098 (713) 512-6000 |
| 1427068063 | MRS. DEBORAH ANCONA - SCHULTZ MD Individual | Radiology (Diagnostic Radiology) | 2900 RICHMOND AVE HOUSTON, TX 77098 (281) 358-7758 |
| 1356507347 | MR. EARL MARK SIMBURGER CRNA Individual | Nurse Anesthetist, Certified Registered | 2900 RICHMOND AVE HOUSTON, TX 77098 (713) 512-6000 |
| 1427201169 | MEMORIAL HERMANN HEALTH SYSTEM Organization | Physiological Laboratory | 2900 RICHMOND AVE HOUSTON, TX 77098 (713) 512-6000 |
| 1821388208 | COCO DENEE WILLIARD M.D. Individual | Internal Medicine | 2900 RICHMOND AVE SUITE 200 HOUSTON, TX 77098 (713) 512-6060 |
| 1790443422 | SHANNON MCDERMOTT ELLIOTT PA-C Individual | Physician Assistant (Surgical) | 2900 RICHMOND AVE HOUSTON, TX 77098 (713) 363-2400 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639343635, enumerated in the NPI registry as an "organization" on April 22, 2008
The provider is located at 2900 Richmond Ave Houston, Tx 77098 and the phone number is (713) 512-6000
This medical organization specializes in Physiological Laboratory with taxonomy code 293D00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 45D2065047 for a "other - outpatient imaging center" 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 April 22, 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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