BACK TO LIFE LASER PAIN CENTER
NPI 1730605312
Clinic/Center - Pain in Camdenton, MO

NPI Status: Active since August 16, 2017

Contact Information

1039 E US HIGHWAY 54 STE 100
CAMDENTON, MO
ZIP 65020
Phone: (573) 873-2755
Fax: (573) 873-2756

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  • Organization
  • Clinic/Center
  • Pain

About BACK TO LIFE LASER PAIN CENTER

This page provides the complete NPI Profile along with additional information for Back To Life Laser Pain Center, a provider established in Camdenton, Missouri operating as a Clinic/center, focusing in pain . The healthcare provider is registered in the NPI registry with number 1730605312 assigned on August 2017. The practitioner's primary taxonomy code is 261QP3300X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Back To Life Laser Pain Center. The authorized official of this NPI record is Ronald Eugene Adamson (President)

NPI
1730605312
Provider Legal Name
LAKE OF THE OZARKS LASER PAIN CENTER LLC
Other Organization Name
BACK TO LIFE LASER PAIN CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1039 E US HIGHWAY 54 STE 100 CAMDENTON, MO 65020
Location Phone
(573) 873-2755
Location Fax
(573) 873-2756
Mailing Address
PO BOX 268 CAMDENTON, MO 65020
Mailing Phone
(573) 873-2755
Mailing Fax
(573) 873-2756
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-16-2017
Last Update Date
02-13-2019
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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 Pain

Taxonomy Code
261QP3300X
Type
Ambulatory Health Care Facilities

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

RONALD EUGENE ADAMSON

Authorized Official Title
PRESIDENT
Authorized Official Phone
(573) 587-9046

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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.
1730605312
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27601201032
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 6 + 0 + 1 + 2 + 0 + 1 + 0 + 3 + 2 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1730605312 is valid because the calculated check digit 2 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 1730605312, enumerated in the NPI registry as an "organization" on August 16, 2017

The provider is located at 1039 E Us Highway 54 Ste 100 Camdenton, Mo 65020 and the phone number is (573) 873-2755

This medical organization specializes in Clinic/Center with taxonomy code 261QP3300X with a focus in Pain

This NPI record was last updated on August 16, 2017. 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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