THE IMAGING CENTER AT BAXTER VILLAGE
NPI 1013170109
Clinic/Center - Magnetic Resonance Imaging (MRI) in Fort Mill, SC

NPI Status: Active since July 08, 2008

Contact Information

509 6TH BAXTER CROSSING
FORT MILL, SC
ZIP 29708
Phone: (803) 329-6829

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  • Organization
  • Clinic/Center
  • Magnetic Resonance Imaging (MRI)
  • CLIA Number: 42D2018987
  • CLIA Cert. Type: Other - DIAGNOSTIC IMAGING CENTER
  • CLIA Exp. Date: 01-19-2027

About THE IMAGING CENTER AT BAXTER VILLAGE

This page provides the complete NPI Profile along with additional information for The Imaging Center At Baxter Village, a provider established in Fort Mill, South Carolina operating as a Clinic/center, focusing in magnetic resonance imaging (mri) . The healthcare provider is registered in the NPI registry with number 1013170109 assigned on July 2008. The practitioner's primary taxonomy code is 261QM1200X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as The Imaging Center At Baxter Village. The authorized official of this NPI record is Mr. Michael Kyle Burtnett (Svp Of Outpatient Services, Tenet)

NPI
1013170109
Provider Legal Name
IMAGING CENTER AT BAXTER VILLAGE, L.L.C.
Other Organization Name
THE IMAGING CENTER AT BAXTER VILLAGE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
509 6TH BAXTER CROSSING FORT MILL, SC 29708
Location Phone
(803) 329-6829
Mailing Address
222 S HERLONG AVE ROCK HILL, SC 29732
Mailing Phone
(803) 329-6829
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-08-2008
Last Update Date
07-28-2016
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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 Magnetic Resonance Imaging (MRI)

Taxonomy Code
261QM1200X
Type
Ambulatory Health Care Facilities

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)
1261QR0200XAmbulatory Health Care Facilities

Clinic/Center
Radiology

 

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

MR. MICHAEL KYLE BURTNETT

Authorized Official Title
SVP OF OUTPATIENT SERVICES, TENET
Authorized Official Phone
(469) 893-2153

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
42D2018987
Facility Type
Other - DIAGNOSTIC IMAGING CENTER
Certificate Effective Date
January 20, 2025
Certificate Expiration Date
January 19, 2027
Laboratory Director
DR. CRAIG HART
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to The Imaging Center At Baxter Village 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 NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1013170109, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 41. The final step is to find the difference between that total and the next multiple of ten (50 - 41 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
1
Doubled → 2
Pos 4
3
Unchanged
Pos 5
1
Doubled → 2
Pos 6
7
Unchanged
Pos 7
0
Doubled → 0
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 1 → 2 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 2 + 3 + 2 + 7 + 0 + 1 + 0 + 24 = 41

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 41 is 50. The difference is the calculated check digit.

50 - 41 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1013170109.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013170109, enumerated as an "organization" on July 08, 2008.

The provider is located at 509 6TH BAXTER CROSSING FORT MILL, SC 29708 and the phone number is (803) 329-6829.

Clinic/Center with taxonomy code 261QM1200X and a focus in Magnetic Resonance Imaging (MRI).