FAYETTEVILLE MRI, LLC
NPI 1710972419
Clinic/Center - Radiology in Fayetteville, TN

NPI Status: Active since September 19, 2005

Contact Information

106 MEDICAL CENTER BLVD
FAYETTEVILLE, TN
ZIP 37334
Phone: (937) 438-7344

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  • Organization
  • Clinic/Center
  • Radiology
  • Accepts Insurance

About FAYETTEVILLE MRI, LLC

This page provides the complete NPI Profile along with additional information for Fayetteville Mri, Llc, a provider established in Fayetteville, Tennessee operating as a Clinic/center, focusing in radiology . The healthcare provider is registered in the NPI registry with number 1710972419 assigned on September 2005. The practitioner's primary taxonomy code is 261QR0200X with license number NA (IN). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mr. Mark B Gabriel (Principal)

NPI
1710972419
Provider Name
FAYETTEVILLE MRI, LLC
Entity Type
Organization
Location Address
106 MEDICAL CENTER BLVD FAYETTEVILLE, TN 37334
Location Phone
(937) 438-7344
Mailing Address
4636 LEBANON PIKE PMB 107 HERMITAGE, TN 37076
Mailing Phone
(931) 438-7344
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-19-2005
Last Update Date
08-22-2020
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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

Clinic/Center Radiology

Taxonomy Code
261QR0200X
Type
Ambulatory Health Care Facilities
License No.
NA
License State
IN

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Copay Focus (No Referrals) - EPO
  • UHC Bronze Copay Focus+ (Dental + Vision, No Referrals) - EPO
  • UHC Bronze Standard (No Referrals) - EPO
  • UHC Bronze Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - EPO
  • UHC Bronze Value (No Referrals) - EPO
  • UHC Bronze Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
  • UHC Gold Advantage (No Referrals) - EPO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
  • UHC Gold Advantage+ (Dental + Vision, No Referrals) - EPO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
  • UHC Gold Copay Focus (No Referrals) - EPO
  • UHC Gold Standard (No Referrals) - EPO
  • UHC Silver Advantage (No Referrals) - EPO
  • UHC Silver Advantage+ (Dental + Vision, No Referrals) - EPO
  • UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Silver Copay Focus (No Referrals) - EPO
  • UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Silver Standard (No Referrals) - EPO

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.

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. MARK B GABRIEL

Authorized Official Title
PRINCIPAL
Authorized Official Phone
(317) 634-2222

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
3790830MEDICAID (05)TN 
1640521OTHER (01)TNUNITED HEALTHCARE

Reviews for FAYETTEVILLE MRI, LLC

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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.
1710972419
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2720187442
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 1 + 8 + 7 + 4 + 4 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1710972419 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1447243316 MICHAEL W KNIGHT CRNA
Individual
Registered Nurse106 MEDICAL CENTER BLVD
FAYETTEVILLE, TN 37334
(931) 438-1100
1881687754 STEVEN TROY WILLIAMS CRNA
Individual
Registered Nurse106 MEDICAL CENTER BLVD
FAYETTEVILLE, TN 37334
(931) 438-1100
1124067723 WILLIAM R NORSKOV JR. MD
Individual
Emergency Medicine106 MEDICAL CENTER BLVD
FAYETTEVILLE, TN 37334
(931) 438-1100
1902048010LINCOLN MEDICAL CENTER HOSPITALIST
Organization
Hospitalist106 MEDICAL CENTER BLVD
FAYETTEVILLE, TN 37334
(931) 438-7482
1184988941DR. JESSICA ANNE MCCORMICK PHARM D
Individual
Pharmacist106 MEDICAL CENTER BLVD
FAYETTEVILLE, TN 37334
(931) 438-7400
1023202223MRS. SAMANTHA LEA STEPHENS PA-C
Individual
Physician Assistant106 MEDICAL CENTER BLVD
FAYETTEVILLE, TN 37334
(931) 438-7500
1629024914LINCOLN MEDICAL CENTER
Organization
General Acute Care Hospital (Rural)106 MEDICAL CENTER BLVD
FAYETTEVILLE, TN 37334
(931) 438-1100
1629450614MR. WILLIAM DANIEL AGACNP-BC
Individual
Nurse Practitioner (Acute Care)106 MEDICAL CENTER BLVD
FAYETTEVILLE, TN 37334
(931) 438-1100
1477648558 WILLIAM D LAYMAN MD
Individual
Radiology (Diagnostic Radiology)106 MEDICAL CENTER BLVD
FAYETTEVILLE, TN 37334
(866) 457-9896
1295778579LINCOLN MEDICAL CENTER
Organization
Pharmacy (Long Term Care Pharmacy)106 MEDICAL CENTER BLVD
FAYETTEVILLE, TN 37334
(931) 438-7400
1972052561LINCOLN ANESTHESIA SERVICES PLLC
Organization
Nurse Anesthetist, Certified Registered106 MEDICAL CENTER BLVD ATTN: PATSY A. LANGFORD, CRNA - ANESTHESIA DEPT
FAYETTEVILLE, TN 37334
(931) 438-7594
1952394876 JOHN C COMPTON CRNA
Individual
Nurse Anesthetist, Certified Registered106 MEDICAL CENTER BLVD
FAYETTEVILLE, TN 37334
(931) 438-1100
1235542333LINCOLN MEDICAL CENTER AMBULANCE SERVICE
Organization
Ambulance (Land Transport)106 MEDICAL CENTER BLVD
FAYETTEVILLE, TN 37334
(931) 438-7434
1992947568MS. SANDRA KILBURN DANIEL ACNP-BC
Individual
Nurse Practitioner (Family)106 MEDICAL CENTER BLVD
FAYETTEVILLE, TN 37334
(931) 438-1100
1144954728HH HEALTH SYSTEM - LINCOLN INC
Organization
Hospice Care, Community Based106 MEDICAL CENTER BLVD
FAYETTEVILLE, TN 37334
(931) 433-8088
1255066460HH HEALTH SYSTEM - LINCOLN INC
Organization
General Acute Care Hospital (Rural)106 MEDICAL CENTER BLVD
FAYETTEVILLE, TN 37334
(931) 438-1100
1487389698HH HEALTH SYSTEM - LINCOLN INC
Organization
Ambulance (Land Transport)106 MEDICAL CENTER BLVD
FAYETTEVILLE, TN 37334
(931) 438-1100
1508590183HH HEALTH SYSTEM - LINCOLN INC
Organization
Home Health106 MEDICAL CENTER BLVD
FAYETTEVILLE, TN 37334
(931) 433-8088
1629832985MR. DANIEL LAWRENCE BROWN PA-C
Individual
Physician Assistant106 MEDICAL CENTER BLVD
FAYETTEVILLE, TN 37334
(931) 438-1100
1750126959LINCOLN MEDICAL HOME HEALTH AND HOSPICE
Organization
Hospice Care, Community Based106 MEDICAL CENTER BLVD
FAYETTEVILLE, TN 37334
(931) 433-8088

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710972419, enumerated in the NPI registry as an "organization" on September 19, 2005

The provider is located at 106 Medical Center Blvd Fayetteville, Tn 37334 and the phone number is (937) 438-7344

This medical organization specializes in Clinic/Center with taxonomy code 261QR0200X with a focus in Radiology

The provider might be accepting Accepts: UnitedHealthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 19, 2005. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.