SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS INC MOBILE MED
NPI 1023844693
Clinic/Center - Radiology, Mobile Mammography in South Bend, IN
NPI Status: Active since September 11, 2024
Contact Information
234 CHAPIN ST STE I
SOUTH BEND, IN
ZIP 46601
Phone: (574) 274-4552
Fax: (574) 335-0660
- Organization
- Clinic/Center
- Radiology, Mobile Mammography
- CLIA Number: 15D2330909
- CLIA Cert. Type: Comp. Outpatient Rehab Facility
- CLIA Exp. Date: 09-23-2027
About SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS INC MOBILE MED
This page provides the complete NPI Profile along with additional information for Saint Joseph Regional Medical Center-south Bend Campus Inc Mobile Med, a provider established in South Bend, Indiana operating as a Clinic/center, focusing in radiology, mobile mammography . The healthcare provider is registered in the NPI registry with number 1023844693 assigned on September 2024. The practitioner's primary taxonomy code is 261QR0207X. The provider is registered as an organization and their NPI record was last updated one year ago. Saint Joseph Regional Medical Center-south Bend Campus Inc Mobile Med operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Saint Joseph Regional Medical Center-south Bend Campus Inc Mobile Med. The authorized official of this NPI record is Christopher James Karam (Rhm President)
- NPI
- 1023844693
- Provider Legal Name
- SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS, INC
- Other Organization Name
- SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS INC MOBILE MED
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 234 CHAPIN ST STE I SOUTH BEND, IN 46601
- Location Phone
- (574) 274-4552
- Location Fax
- (574) 335-0660
- Mailing Address
- 5215 HOLY CROSS PKWY MISHAWAKA, IN 46545
- Mailing Phone
- (574) 335-8707
- Mailing Fax
- (574) 335-0660
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-11-2024
- Last Update Date
- 01-16-2025
- 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
Clinic/Center Radiology, Mobile Mammography
- Taxonomy Code
- 261QR0207X
- 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) |
|---|---|---|---|---|
| 1 | 163WC1500X | Nursing Service Providers | Registered Nurse | |
| 2 | 172V00000X | Other Service Providers | Community Health Worker | |
| 3 | 2471M2300X | Technologists, Technicians & Other Technical Service Providers | Radiologic Technologist | |
| 4 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | |
| 5 | 364SC1501X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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
- 15D2330909
- Facility Type
- Comp. Outpatient Rehab Facility
- Certificate Effective Date
- September 24, 2025
- Certificate Expiration Date
- September 23, 2027
- Laboratory Director
- DONALD ROBERT WESTERHAUSEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Saint Joseph Regional Medical Center-south Bend Campus Inc Mobile Med 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 1023844693, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023844693, enumerated as an "organization" on September 11, 2024.
The provider is located at 234 CHAPIN ST STE I SOUTH BEND, IN 46601 and the phone number is (574) 274-4552.
Clinic/Center with taxonomy code 261QR0207X and a focus in Radiology, Mobile Mammography.
