STATESBORO IMAGING CENTER
NPI 1811217920
Physiological Laboratory in Statesboro, GA
NPI Status: Active since June 11, 2010
Contact Information
8 LESTER RD
STATESBORO, GA
ZIP 30458
Phone: (912) 764-5656
Fax: (912) 764-5659
- Organization
- Physiological Laboratory
- CLIA Number: 11D2009817
- CLIA Cert. Type: Other - IDTF (IN PROCESS)
- CLIA Exp. Date: 07-14-2026
About STATESBORO IMAGING CENTER
This page provides the complete NPI Profile along with additional information for Statesboro Imaging Center, a provider established in Statesboro, Georgia operating as a Physiological Laboratory. The healthcare provider is registered in the NPI registry with number 1811217920 assigned on June 2010. The practitioner's primary taxonomy code is 293D00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Statesboro Imaging Center. The authorized official of this NPI record is Don R Connell M.d. (President)
- NPI
- 1811217920
- Provider Legal Name
- STATESBORO IMAGING CENTER, P.C.
- Other Organization Name
- STATESBORO IMAGING CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 8 LESTER RD STATESBORO, GA 30458
- Location Phone
- (912) 764-5656
- Location Fax
- (912) 764-5659
- Mailing Address
- 8 LESTER RD STATESBORO, GA 30458
- Mailing Phone
- (912) 764-5656
- Mailing Fax
- (912) 764-5659
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-11-2010
- Last Update Date
- 06-11-2010
- 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
- License State
- GA
- 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.
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
- 11D2009817
- Facility Type
- Other - IDTF (IN PROCESS)
- Certificate Effective Date
- July 15, 2024
- Certificate Expiration Date
- July 14, 2026
- Laboratory Director
- DR. ANJANA VIJAYVARGIYA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Statesboro Imaging Center 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 STATESBORO IMAGING CENTER
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 | 8 | 1 | 1 | 2 | 1 | 7 | 9 | 2 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 2 | 1 | 4 | 1 | 14 | 9 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 2 + 1 + 4 + 1 + 1 + 4 + 9 + 4 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1811217920 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1750413613 | STATESBORO IMAGING CENTER, P.C. Organization | Physiological Laboratory | 8 LESTER RD STATESBORO, GA 30458 (912) 764-5656 |
| 1619053295 | TECHNICAL DIAGNOSTIC IMAGING, LLC Organization | Physiological Laboratory | 8 LESTER RD STATESBORO, GA 30458 (912) 764-5656 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811217920, enumerated in the NPI registry as an "organization" on June 11, 2010
The provider is located at 8 Lester Rd Statesboro, Ga 30458 and the phone number is (912) 764-5656
This medical organization specializes in Physiological Laboratory with taxonomy code 293D00000X
The provider's CLIA number is 11D2009817 for a "other - idtf (in process)" 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 June 11, 2010. 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.