MEDICAL IMAGING AND MANAGEMENT INC NPI 1003012683

Clinic/Center (Radiology) in Boca Raton, FL

NPI 1003012683 Organization Clinic/Center Radiology

NPI Profile for MEDICAL IMAGING AND MANAGEMENT INC

Medical Imaging And Management Inc is a provider established in Boca Raton, Florida specializing in clinic/center (radiology) . The NPI number of Medical Imaging And Management Inc is 1003012683 and was assigned on June 2007. The practitioner's primary taxonomy code is 261QR0200X with license number ME19375 (FL). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Norman Henry Pevsner Md (President)

NPI

1003012683

Provider NameMEDICAL IMAGING AND MANAGEMENT INC
Provider Location Address2500 N MILITARY TRL STE 1258 BOCA RATON, FL 33431
Provider Mailing Address4519 GEORGE RD STE 100 TAMPA, FL 33634
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date06-21-2007
Last Update Date11-27-2007


Primary Taxonomy

Taxonomy Code261QR0200X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationRadiology
License No.ME19375
License StateFL

Business Address

MEDICAL IMAGING AND MANAGEMENT INC
2500 N MILITARY TRL
STE 1258
BOCA RATON, FL
ZIP 33431
Phone: (813) 496-1075
Fax: (813) 249-7762

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Mailing Address

MEDICAL IMAGING AND MANAGEMENT INC
4519 GEORGE RD
STE 100
TAMPA, FL
ZIP 33634
Phone: (813) 496-1075
Fax: (813) 249-7762



Authorized Official

Authorized Official Name NORMAN HENRY PEVSNER MD
Authorized Official TitlePRESIDENT
Authorized Official Phone(813) 496-1075

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
K9543MEDICARE PIN (08)FL

NPI Validation Check Digit Calculation


The following table explains step by step the 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.
1003012683
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003014616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 4 + 6 + 1 + 6 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1003012683 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1780971366MAXX HEALTH, INC
Organization
General Practice2500 N MILITARY TRL SUITE #310
BOCA RATON, FL 33431
(561) 613-4500
1306122189DENTAL CONCEPTS PA
Organization
Clinic/Center (Dental)2500 N MILITARY TRL SUITE 230
BOCA RATON, FL 33431
(561) 241-1010
1023060498DR. GARY JON WAYNE D.M.D.
Individual
Dentist (Oral and Maxillofacial Surgery)2500 N MILITARY TRL SUITE 308
BOCA RATON, FL 33431
(561) 443-7001
1609124213GARY J WAYNE DMD,PA
Organization
Dentist (Oral and Maxillofacial Surgery)2500 N MILITARY TRL SUITE 308
BOCA RATON, FL 33431
(561) 443-7001
1659574226 LISA C. MARTINEZ MD
Individual
Internal Medicine2500 N MILITARY TRL SUITE 260
BOCA RATON, FL 33431
(561) 886-1202
1821291873GARY J WAYNE DMD PA
Organization
Dentist (Oral and Maxillofacial Surgery)2500 N MILITARY TRL SUITE 308
BOCA RATON, FL 33431
(561) 443-7001

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Medical Imaging And Management Inc is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.