MEDICAL IMAGING OF BALTIMORE
NPI 1700830114
Specialist in Baltimore, MD
NPI Status: Active since May 20, 2006
Contact Information
6715 N CHARLES ST
BALTIMORE, MD
ZIP 21204
Phone: (410) 296-5610
Fax: (410) 296-2982
- Organization
- Specialist
- CLIA Number: 21D1017719
- CLIA Cert. Type: Independent
- CLIA Exp. Date: 10-01-2025
About MEDICAL IMAGING OF BALTIMORE
This page provides the complete NPI Profile along with additional information for Medical Imaging Of Baltimore, a provider established in Baltimore, Maryland operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1700830114 assigned on May 2006. The practitioner's primary taxonomy code is 174400000X with license number M270 (MD). The provider is registered as an organization and their NPI record was last updated 17 years ago. Medical Imaging Of Baltimore operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Medical Imaging Of Baltimore. The authorized official of this NPI record is Mr. Michael Lisse (Agent)
- NPI
- 1700830114
- Provider Legal Name
- MIB PARTNERSHIP LLP
- Other Organization Name
- MEDICAL IMAGING OF BALTIMORE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 6715 N CHARLES ST BALTIMORE, MD 21204
- Location Phone
- (410) 296-5610
- Location Fax
- (410) 296-2982
- Mailing Address
- PO BOX 630277 BALTIMORE, MD 21263
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-20-2006
- Last Update Date
- 06-25-2008
- 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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- M270
- License State
- MD
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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 |
|---|---|---|---|
| 258L | MEDICARE ID-TYPE UNSPECIFIED (04) | MD |
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
- 21D1017719
- Facility Type
- Independent
- Certificate Effective Date
- October 02, 2023
- Certificate Expiration Date
- October 01, 2025
- Laboratory Director
- LORALIE D. MA MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Medical Imaging Of Baltimore 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.
Reviews for MEDICAL IMAGING OF BALTIMORE
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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 | 7 | 0 | 0 | 8 | 3 | 0 | 1 | 1 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 0 | 0 | 16 | 3 | 0 | 1 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 0 + 0 + 1 + 6 + 3 + 0 + 1 + 2 + 24 = 46 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 46 = 4 | 4 | ||||||||
The NPI number 1700830114 is valid because the calculated check digit 4 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 1700830114, enumerated in the NPI registry as an "organization" on May 20, 2006
The provider is located at 6715 N Charles St Baltimore, Md 21204 and the phone number is (410) 296-5610
This medical organization specializes in Specialist with taxonomy code 174400000X
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 21D1017719 for a "independent" 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 May 20, 2006. 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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