NORTH SHORE VASCULAR DIAGNOSTIC LABORATORY
NPI 1124037361
Physiological Laboratory in Beverly, MA
NPI Status: Active since August 05, 2006
Contact Information
75 HERRICK ST
SUITE 110 - PARKHURST MEDICAL BLDG.
BEVERLY, MA
ZIP 01915
Phone: (978) 922-5535
Fax: (978) 922-5667
- Organization
- Physiological Laboratory
About NORTH SHORE VASCULAR DIAGNOSTIC LABORATORY
This page provides the complete NPI Profile along with additional information for North Shore Vascular Diagnostic Laboratory, a provider established in Beverly, Massachusetts operating as a Physiological Laboratory. The healthcare provider is registered in the NPI registry with number 1124037361 assigned on August 2006. The practitioner's primary taxonomy code is 293D00000X with license number 35297 (MA). 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 provider's is doing business as North Shore Vascular Diagnostic Laboratory. The authorized official of this NPI record is Dr. Randolph David Maloney M.d. (Medical Director President)
- NPI
- 1124037361
- Provider Legal Name
- RANDOLPH D. MALONEY, M.D., PC
- Other Organization Name
- NORTH SHORE VASCULAR DIAGNOSTIC LABORATORY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 75 HERRICK ST SUITE 110 - PARKHURST MEDICAL BLDG. BEVERLY, MA 01915
- Location Phone
- (978) 922-5535
- Location Fax
- (978) 922-5667
- Mailing Address
- 75 HERRICK ST SUITE 110 - PARKHURST MEDICAL BLDG. BEVERLY, MA 01915
- Mailing Phone
- (978) 922-5535
- Mailing Fax
- (978) 922-5667
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-05-2006
- Last Update Date
- 06-21-2018
- 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
Physiological Laboratory
- Taxonomy Code
- 293D00000X
- Type
- Laboratories
- License No.
- 35297
- License State
- MA
- 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) |
|---|---|---|---|---|
| 1 | 2471V0105X | Technologists, Technicians & Other Technical Service Providers | Radiologic Technologist | RDMS-RVT (MA) |
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.
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 |
|---|---|---|---|
| 021569 | OTHER (01) | MA | BLUECROSS/BLUESHIELD |
| 801461 | OTHER (01) | MA | TUFTS |
| ========= | OTHER (01) | MA | AETNA-US HEALTH |
| 606913 | OTHER (01) | MA | HARVARD PILGRAM |
| 9769706 | MEDICAID (05) | MA | |
| 33434 | OTHER (01) | MA | FALLON HEALTH |
| 950000914 | OTHER (01) | MA | RAILROAD MEDICARE |
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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 1124037361, 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 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 49 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BEVERLY, MA 01915
BEVERLY, MA 01915
BEVERLY, MA 01915
BEVERLY, MA 01915
BEVERLY, MA 01915
BEVERLY, MA 01915
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124037361, enumerated as an "organization" on August 05, 2006.
The provider is located at 75 HERRICK ST SUITE 110 - PARKHURST MEDICAL BLDG. BEVERLY, MA 01915 and the phone number is (978) 922-5535.
Physiological Laboratory with taxonomy code 293D00000X.
The provider might be accepting Accepts: Medicare, Medicaid, Tufts Health Plan, Aetna and. Please consult your insurance carrier or call the provider to verify.
