CONROE VASCULAR AND INTERVENTIONAL LLP
NPI 1093211591
Radiology - Vascular & Interventional Radiology in Conroe, TX
NPI Status: Active since April 03, 2018
Contact Information
100 MEDICAL CENTER BLVD STE 118
CONROE, TX
ZIP 77304
Phone: (936) 539-4031
Fax: (936) 539-4537
- Organization
- Radiology
- Vascular & Interventional Radiology
- CLIA Number: 45D1081765
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 05-22-2026
About CONROE VASCULAR AND INTERVENTIONAL LLP
This page provides the complete NPI Profile along with additional information for Conroe Vascular And Interventional Llp, a provider established in Conroe, Texas operating as a Radiology, focusing in vascular & interventional radiology . The healthcare provider is registered in the NPI registry with number 1093211591 assigned on April 2018. The practitioner's primary taxonomy code is 2085R0204X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mobolaji Odelowo Md (Managing Partner)
- NPI
- 1093211591
- Provider Name
- CONROE VASCULAR AND INTERVENTIONAL LLP
- Entity Type
- Organization
- Location Address
- 100 MEDICAL CENTER BLVD STE 118 CONROE, TX 77304
- Location Phone
- (936) 539-4031
- Location Fax
- (936) 539-4537
- Mailing Address
- 100 MEDICAL CENTER BLVD STE 118 CONROE, TX 77304
- Mailing Phone
- (936) 539-4031
- Mailing Fax
- (936) 539-4537
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-03-2018
- Last Update Date
- 04-11-2018
- 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
Radiology Vascular & Interventional Radiology
- Taxonomy Code
- 2085R0204X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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
- 45D1081765
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- March 25, 2008
- Certificate Expiration Date
- May 22, 2026
- Laboratory Director
- DANIEL ROSEN
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Conroe Vascular And Interventional Llp on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 1093211591, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
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 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093211591, enumerated as an "organization" on April 03, 2018.
The provider is located at 100 MEDICAL CENTER BLVD STE 118 CONROE, TX 77304 and the phone number is (936) 539-4031.
Radiology with taxonomy code 2085R0204X and a focus in Vascular & Interventional Radiology.
