SIERRA VISTA DIAGNOSTICS LLC
NPI 1104014257
Radiology - Diagnostic Radiology in Sierra Vista, AZ
NPI Status: Active since October 12, 2007
Contact Information
155 CALLE PORTAL STE 500
SIERRA VISTA, AZ
ZIP 85635
Phone: (520) 459-5227
Fax: (520) 459-2191
- Organization
- Radiology
- Diagnostic Radiology
- CLIA Number: 03D0533525
- CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
- CLIA Exp. Date: 03-08-2028
About SIERRA VISTA DIAGNOSTICS LLC
This page provides the complete NPI Profile along with additional information for Sierra Vista Diagnostics Llc, a provider established in Sierra Vista, Arizona operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1104014257 assigned on October 2007. The practitioner's primary taxonomy code is 2085R0202X with license number 9110 (AZ). The provider is registered as an organization and their NPI record was last updated 14 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 Dr. Steven I. Walsh M.d. (Managing Partner)
- NPI
- 1104014257
- Provider Name
- SIERRA VISTA DIAGNOSTICS LLC
- Entity Type
- Organization
- Location Address
- 155 CALLE PORTAL STE 500 SIERRA VISTA, AZ 85635
- Location Phone
- (520) 459-5227
- Location Fax
- (520) 459-2191
- Mailing Address
- 155 CALLE PORTAL STE 500 SIERRA VISTA, AZ 85635
- Mailing Phone
- (520) 459-5227
- Mailing Fax
- (520) 459-2191
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-12-2007
- Last Update Date
- 12-19-2012
- 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 Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 9110
- License State
- AZ
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| D37142 | MEDICARE UPIN (02) | AZ | |
| D37800 | MEDICARE UPIN (02) | AZ | |
| 220575001 | MEDICAID (05) | AZ | |
| Z104592 | MEDICARE PIN (08) | AZ | |
| DD8752 | OTHER (01) | AZ | RAILROAD MEDICARE |
| 255085001 | MEDICAID (05) | AZ |
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
- 03D0533525
- Facility Type
- End Stage Renal Disease Dialysis Facility
- Certificate Effective Date
- March 09, 2026
- Certificate Expiration Date
- March 08, 2028
- Laboratory Director
- PURBA BISWAS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Sierra Vista Diagnostics Llc 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 1104014257, we treat the final digit (7) 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 43. The final step is to find the difference between that total and the next multiple of ten (50 - 43 = 7).
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 43 is 50. 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.
SIERRA VISTA, AZ 85635
SIERRA VISTA, AZ 85635
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104014257, enumerated as an "organization" on October 12, 2007.
The provider is located at 155 CALLE PORTAL STE 500 SIERRA VISTA, AZ 85635 and the phone number is (520) 459-5227.
Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.
The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to verify.
