SOUTH COUNTY IMAGING CENTER LLC
NPI 1881702728
Radiology - Body Imaging in Saint Louis, MO
NPI Status: Active since August 29, 2006
Contact Information
12345 W BEND DR
STE 200
SAINT LOUIS, MO
ZIP 63128
Phone: (314) 843-8000
Fax: (314) 843-3004
- Organization
- Radiology
- Body Imaging
- CLIA Number: 26D0676438
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-29-2026
About SOUTH COUNTY IMAGING CENTER LLC
This page provides the complete NPI Profile along with additional information for South County Imaging Center Llc, a provider established in Saint Louis, Missouri operating as a Radiology, focusing in body imaging . The healthcare provider is registered in the NPI registry with number 1881702728 assigned on August 2006. The practitioner's primary taxonomy code is 2085B0100X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Abraham S Hawatmeh Md (Owner/president)
- NPI
- 1881702728
- Provider Name
- SOUTH COUNTY IMAGING CENTER LLC
- Entity Type
- Organization
- Location Address
- 12345 W BEND DR STE 200 SAINT LOUIS, MO 63128
- Location Phone
- (314) 843-8000
- Location Fax
- (314) 843-3004
- Mailing Address
- 12345 W BEND DR STE 200 SAINT LOUIS, MO 63128
- Mailing Phone
- (314) 843-8000
- Mailing Fax
- (314) 843-3004
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-29-2006
- Last Update Date
- 04-20-2008
- 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
Radiology Body Imaging
- Taxonomy Code
- 2085B0100X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A Radiology doctor of Osteopathy that specializes in Body Imaging.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | |
| 2 | 2085U0001X | Allopathic & Osteopathic Physicians | Radiology |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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 |
|---|---|---|---|
| 313190 | OTHER (01) | MO | GHP |
| P00415698 | MEDICARE PIN (08) | MO | |
| =========SOU | OTHER (01) | MO | MERCY |
| 73674 | OTHER (01) | MO | HCUSA |
| 1078863 | OTHER (01) | USA MCO |
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
- 26D0676438
- Facility Type
- Physician Office
- Certificate Effective Date
- November 30, 2024
- Certificate Expiration Date
- November 29, 2026
- Laboratory Director
- ABRAHAM S. HAWATMEH MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to South County Imaging Center Llc 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.
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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 | 8 | 8 | 1 | 7 | 0 | 2 | 7 | 2 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 16 | 1 | 14 | 0 | 4 | 7 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 6 + 1 + 1 + 4 + 0 + 4 + 7 + 4 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1881702728 is valid because the calculated check digit 8 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 |
|---|---|---|---|
| 1336135417 | RICHARD S. GAHN MD Individual | Pain Medicine (Interventional Pain Medicine) | 12345 W BEND DR SUITE 302 SAINT LOUIS, MO 63128 (314) 768-0707 |
| 1639150378 | ROBERT OERTLI M.D. Individual | Internal Medicine | 12345 W BEND DR SUITE 300 SAINT LOUIS, MO 63128 (314) 849-6000 |
| 1922085356 | RENEE AMATO PA Individual | Physician Assistant | 12345 W BEND DR SUITE 300 SAINT LOUIS, MO 63128 (314) 849-6000 |
| 1184696627 | DR. SALIM I HAWATMEH M.D. Individual | Urology | 12345 W BEND DR SUITE 200 SAINT LOUIS, MO 63128 (314) 843-8000 |
| 1003846700 | MR. LESLIE THARON CRANICK P.A. Individual | Physician Assistant | 12345 W BEND DR SUITE 200 SAINT LOUIS, MO 63128 (314) 843-8000 |
| 1114952074 | DR. FREDERICK P WALTERS M.D. Individual | Urology | 12345 W BEND DR SUITE200 SAINT LOUIS, MO 63128 (314) 843-8000 |
| 1912026345 | MRS. LINDA DARLENE STEFANO FNP Individual | Nurse Practitioner (Family) | 12345 W BEND DR SUITE 200 SAINT LOUIS, MO 63128 (314) 843-8000 |
| 1700867215 | DONALD RICHARDSON M.D. Individual | Internal Medicine | 12345 W BEND DR SUITE 300 SAINT LOUIS, MO 63128 (314) 849-6000 |
| 1336376714 | HOWARD BON HSU M.D. Individual | Internal Medicine | 12345 W BEND DR SUITE 300 SAINT LOUIS, MO 63128 (314) 849-6000 |
| 1841272804 | JAMES SPEISER M.D. Individual | Internal Medicine | 12345 W BEND DR SUITE 300 SAINT LOUIS, MO 63128 (314) 849-6000 |
| 1699805333 | BARRY JOE SMITH MD Individual | Anesthesiology | 12345 W BEND DR SUITE 201 SAINT LOUIS, MO 63128 (314) 722-2530 |
| 1538169495 | ROBERT F CURTIN MD Individual | Internal Medicine | 12345 W BEND DR SUITE 300 SAINT LOUIS, MO 63128 (314) 849-6000 |
| 1669407516 | DR. IBRAHIM SALIM HAWATMEH M.D. Individual | Urology | 12345 W BEND DR SUITE 200 SAINT LOUIS, MO 63128 (314) 843-8000 |
| 1750380655 | DR. ANITA RENEE SCHNAPP MD Individual | Obstetrics & Gynecology | 12345 W BEND DR STE 105 SAINT LOUIS, MO 63128 (314) 270-8051 |
| 1831599059 | SOUTH COUNTY WOMEN'S HEALTH, P.C. Organization | Obstetrics & Gynecology | 12345 W BEND DR 105 SAINT LOUIS, MO 63128 (314) 270-8051 |
| 1972942985 | DR. HERMAN KENDRITH BEEBE III D.O. Individual | Internal Medicine | 12345 W BEND DR STE 300 SAINT LOUIS, MO 63128 (314) 849-6000 |
| 1083884894 | SOUTH COUNTY SURGICAL CENTER, LLC Organization | Clinic/Center (Ambulatory Surgical) | 12345 W BEND DR SUITE 201 SAINT LOUIS, MO 63128 (314) 843-8000 |
| 1376705848 | BROAD MIDWEST ANESTHESIA, LLC Organization | Anesthesiology | 12345 W BEND DR SUITE 200 SAINT LOUIS, MO 63128 (314) 843-8000 |
| 1003824350 | SOUTH COUNTY UROLOGICAL, INC. Organization | Urology | 12345 W BEND DR SUITE 200 SAINT LOUIS, MO 63128 (314) 843-8000 |
| 1184941700 | MS. MELINDA S WEBER CRNA Individual | Nurse Anesthetist, Certified Registered | 12345 W BEND DR SAINT LOUIS, MO 63128 (636) 386-7222 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881702728, enumerated in the NPI registry as an "organization" on August 29, 2006
The provider is located at 12345 W Bend Dr Ste 200 Saint Louis, Mo 63128 and the phone number is (314) 843-8000
This medical organization specializes in Radiology with taxonomy code 2085B0100X with a focus in Body Imaging
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 26D0676438 for a "physician office" 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 August 29, 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.