CAROL MILGARD BREAST CENTER
NPI 1063661098
Clinic/Center - Radiology, Mammography in Tacoma, WA

NPI Status: Active since September 15, 2008

Contact Information

4525 SOUTH 19TH STREET
TACOMA, WA
ZIP 98405
Phone: (253) 761-4200
Fax: (253) 761-4201

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  • Organization
  • Clinic/Center
  • Radiology, Mammography
  • Accepts Insurance
  • CLIA Number: 50D1095950
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 04-04-2028

About CAROL MILGARD BREAST CENTER

This page provides the complete NPI Profile along with additional information for Carol Milgard Breast Center, a provider established in Tacoma, Washington operating as a Clinic/center, focusing in radiology, mammography . The healthcare provider is registered in the NPI registry with number 1063661098 assigned on September 2008. The practitioner's primary taxonomy code is 261QR0206X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's other name is Carol Milgard Breast Center. The authorized official of this NPI record is Kirsten Maxwell (Revenue Cycle Manager)

NPI
1063661098
Provider Legal Name
THE CAROL MILGARD BREAST CENTER
Other Organization Name
CAROL MILGARD BREAST CENTER
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
4525 SOUTH 19TH STREET TACOMA, WA 98405
Location Phone
(253) 761-4200
Location Fax
(253) 761-4201
Mailing Address
PO BOX 1535 TACOMA, WA 98401
Mailing Phone
(253) 761-4200
Mailing Fax
(253) 761-4201
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-15-2008
Last Update Date
09-01-2023
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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

Clinic/Center Radiology, Mammography

Taxonomy Code
261QR0206X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Core Bronze HSA 10600 - EPO
  • Core Bronze HSA 7500 - EPO
  • Core Bronze HSA 8300 - EPO
  • Core Gold 1500 - EPO
  • Core Gold 3000 - EPO
  • Core Silver 3500 - EPO
  • Core Silver 4500 - EPO
  • Core Silver 5000 - EPO
  • Core Silver 7500 - EPO
  • Core Standard Expanded Bronze HSA - EPO
  • Core Standard Gold - EPO
  • Core Standard Silver - EPO
  • PacificSource Oregon Standard Bronze HSA Plan Core - EPO
  • PacificSource Oregon Standard Gold Plan Core - EPO
  • PacificSource Oregon Standard Silver Plan Core - EPO
  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

KIRSTEN MAXWELL

Authorized Official Title
REVENUE CYCLE MANAGER
Authorized Official Phone
(253) 680-3564

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
50D1095950
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
February 20, 2009
Certificate Expiration Date
April 04, 2028
Laboratory Director
JENNIFER WITTE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Carol Milgard Breast Center 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 1063661098, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

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
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
6
Unchanged
Pos 7
1
Doubled → 2
Pos 8
0
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
8
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 6 → 12 → 3 6 → 12 → 3 1 → 2 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 2 + 3 + 1 + 2 + 6 + 2 + 0 + 1 + 8 + 24 = 52

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

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1063661098.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063661098, enumerated as an "organization" on September 15, 2008.

The provider is located at 4525 SOUTH 19TH STREET TACOMA, WA 98405 and the phone number is (253) 761-4200.

Clinic/Center with taxonomy code 261QR0206X and a focus in Radiology, Mammography.

The provider might be accepting Accepts: PacificSource Health Plans and Premera Blue Cross. Please consult your insurance carrier or call the provider to verify.