ZIVAMED IDTF
NPI 1063280170
Physiological Laboratory in Mexico, MO

NPI Status: Active since December 18, 2023

Contact Information

620 E MONROE ST STE 1100
MEXICO, MO
ZIP 65265
Phone: (573) 570-3519

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  • Organization
  • Physiological Laboratory

About ZIVAMED IDTF

This page provides the complete NPI Profile along with additional information for Zivamed Idtf, a provider established in Mexico, Missouri operating as a Physiological Laboratory. The healthcare provider is registered in the NPI registry with number 1063280170 assigned on December 2023. The practitioner's primary taxonomy code is 293D00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Zivamed Idtf operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Zivamed Idtf. The authorized official of this NPI record is Amanda Shurtz (Ceo)

NPI
1063280170
Provider Legal Name
ZIVA MEDICAL CENTER LLC
Other Organization Name
ZIVAMED IDTF
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
620 E MONROE ST STE 1100 MEXICO, MO 65265
Location Phone
(573) 570-3519
Mailing Address
620 E MONROE ST STE 1100 MEXICO, MO 65265
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-18-2023
Last Update Date
12-18-2023
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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

Physiological Laboratory

Taxonomy Code
293D00000X
Type
Laboratories
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.

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)
12085R0202XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Radiology

 
22085U0001XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Ultrasound

 

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.

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

AMANDA SHURTZ

Authorized Official Title
CEO
Authorized Official Phone
(573) 570-3519

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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.
1063280170
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20123480114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 4 + 8 + 0 + 1 + 1 + 4 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1063280170 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063280170, enumerated as an "organization" on December 18, 2023.

The provider is located at 620 E MONROE ST STE 1100 MEXICO, MO 65265 and the phone number is (573) 570-3519.

Physiological Laboratory with taxonomy code 293D00000X.