DIAGNOSTIC HEALTH WALDORF
NPI 1720037104
Physiological Laboratory in Waldorf, MD

NPI Status: Active since May 10, 2006

Contact Information

12070 OLD LINE CTR
SUITE 305
WALDORF, MD
ZIP 20602
Phone: (301) 870-4190
Fax: (301) 870-4422

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  • Organization
  • Physiological Laboratory

About DIAGNOSTIC HEALTH WALDORF

This page provides the complete NPI Profile along with additional information for Diagnostic Health Waldorf, a provider established in Waldorf, Maryland operating as a Physiological Laboratory. The healthcare provider is registered in the NPI registry with number 1720037104 assigned on May 2006. The practitioner's primary taxonomy code is 293D00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Diagnostic Health Waldorf. The authorized official of this NPI record is Miss Donna L Burch (Credentialing Specialist)

NPI
1720037104
Provider Legal Name
DIAGNOSTIC HEALTH CORPORATION
Other Organization Name
DIAGNOSTIC HEALTH WALDORF
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
12070 OLD LINE CTR SUITE 305 WALDORF, MD 20602
Location Phone
(301) 870-4190
Location Fax
(301) 870-4422
Mailing Address
22 INVERNESS CENTER PKWY SUITE 425 BIRMINGHAM, AL 35242
Mailing Phone
(205) 981-4814
Mailing Fax
(301) 870-4422
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-10-2006
Last Update Date
03-08-2011
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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.

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.

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

MISS DONNA L BURCH

Authorized Official Title
CREDENTIALING SPECIALIST
Authorized Official Phone
(205) 981-4814

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
FMA007MEDICARE PIN (08)MD 

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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.
1720037104
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2740031410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 0 + 3 + 1 + 4 + 1 + 0 + 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 = 44

The NPI number 1720037104 is valid because the calculated check digit 4 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
1942206412DOUGLAS AVERY & ASSOCIATES LTD
Organization
Clinic/Center (Physical Therapy)12070 OLD LINE CTR STE 107
WALDORF, MD 20602
(301) 374-6885
1780681668MS. MARIESA KINCH CRNP
Individual
Nurse Practitioner12070 OLD LINE CTR STE 207
WALDORF, MD 20602
(301) 870-0660
1174521173 JOSEPH RAYMOND MURPHY M.D.
Individual
Internal Medicine (Gastroenterology)12070 OLD LINE CTR STE 200
WALDORF, MD 20602
(301) 645-8035
1689673741 LORNETTE B MILLS MD
Individual
Internal Medicine (Gastroenterology)12070 OLD LINE CTR STE 200
WALDORF, MD 20602
(301) 645-8035
1497754550 KHADAR BAIG MD
Individual
Internal Medicine (Gastroenterology)12070 OLD LINE CTR STE 200
WALDORF, MD 20602
(301) 645-8035
1114926284 SEETARAMAYYA NAGULA M.D.
Individual
Internal Medicine (Gastroenterology)12070 OLD LINE CTR SUITE 200
WALDORF, MD 20602
(301) 645-8035
1497747349 MICHAEL A LEATHERWOOD MD
Individual
Internal Medicine12070 OLD LINE CTR SUITE 302
WALDORF, MD 20602
(301) 645-6667
1326030040 ROBERT TIMOTHY PACE MD
Individual
Family Medicine12070 OLD LINE CTR SUITE 302
WALDORF, MD 20602
(301) 645-6667
1376524579 CONOR F LUNDERGAN M.D.
Individual
Internal Medicine (Cardiovascular Disease)12070 OLD LINE CTR STE 303
WALDORF, MD 20602
(301) 475-3240
1518940758 JOSEPH EDGAR JAWORSKI, PA-C
Individual
Physician Assistant12070 OLD LINE CTR SUITE 302
WALDORF, MD 20602
(301) 645-6667
1912975277PACE & LEATHERWOOD, PC
Organization
Family Medicine12070 OLD LINE CTR SUITE 302
WALDORF, MD 20602
(301) 645-6667
1699714469MARYLAND HEALTHCARE ASSOCIATES LLC
Organization
Internal Medicine12070 OLD LINE CTR SUITE 100
WALDORF, MD 20602
(301) 705-7870
1801826342 WILLIAM J LEVY MD
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)12070 OLD LINE CTR SUITE 102
WALDORF, MD 20602
(301) 870-4100
1073674925 WILLIAM JOHN OETGEN M.D.
Individual
Specialist12070 OLD LINE CTR SUITE 100
WALDORF, MD 20602
(301) 705-7870
1659419919DR. AYMAN RAJAI HAKKI M.D.
Individual
Specialist12070 OLD LINE CTR #306
WALDORF, MD 20602
(301) 843-9769
1992928006DR. DARRELL ADRIAN CLARK D.D.S.
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)12070 OLD LINE CTR
WALDORF, MD 20602
(301) 638-0282
1568681682DR. DARRELL ADRIAN CLARK D.D.S.
Organization
Dentist (Orthodontics and Dentofacial Orthopedics)12070 OLD LINE CTR
WALDORF, MD 20602
(301) 638-0282
1861682957DR. GOWRI KULARATNA M.D.
Individual
Internal Medicine12070 OLD LINE CTR SUITE 200
WALDORF, MD 20602
(301) 645-8035
1548406960SURGICAL ASSOCIATES, CHARTERED
Organization
Surgery (Vascular Surgery)12070 OLD LINE CTR SUITE 306
WALDORF, MD 20602
(301) 868-8485
1245237684MS. JENNIFER LYNN KNODE PAC
Individual
Physician Assistant (Medical)12070 OLD LINE CTR STE 207
WALDORF, MD 20602
(301) 870-0660

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720037104, enumerated in the NPI registry as an "organization" on May 10, 2006

The provider is located at 12070 Old Line Ctr Suite 305 Waldorf, Md 20602 and the phone number is (301) 870-4190

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.

This NPI record was last updated on May 10, 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].
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.