CLEVELAND CLINIC IMAGING
NPI 1124751185
Clinic/Center - Magnetic Resonance Imaging (MRI) in Port Saint Lucie, FL

NPI Status: Active since July 07, 2022

Contact Information

10000 SW INNOVATION WAY
PORT SAINT LUCIE, FL
ZIP 34987
Phone: (772) 345-5236

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  • Organization
  • Clinic/Center
  • Magnetic Resonance Imaging (MRI)
  • CLIA Number: 10D0997101
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 03-05-2028

About CLEVELAND CLINIC IMAGING

This page provides the complete NPI Profile along with additional information for Cleveland Clinic Imaging, a provider established in Port Saint Lucie, Florida operating as a Clinic/center, focusing in magnetic resonance imaging (mri) . The healthcare provider is registered in the NPI registry with number 1124751185 assigned on July 2022. The practitioner's primary taxonomy code is 261QM1200X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Cleveland Clinic Imaging. The authorized official of this NPI record is Timothy Longville (Chief Accounting Officer And Contro)

NPI
1124751185
Provider Legal Name
COASTAL CARE CORPORATION
Other Organization Name
CLEVELAND CLINIC IMAGING
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
10000 SW INNOVATION WAY PORT SAINT LUCIE, FL 34987
Location Phone
(772) 345-5236
Mailing Address
6801 BRECKSVILLE RD STE 20, RK2-7 INDEPENDENCE, OH 44131
Mailing Phone
(216) 636-4969
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-07-2022
Last Update Date
07-07-2022
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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 Magnetic Resonance Imaging (MRI)

Taxonomy Code
261QM1200X
Type
Ambulatory Health Care Facilities

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

TIMOTHY LONGVILLE

Authorized Official Title
CHIEF ACCOUNTING OFFICER AND CONTRO
Authorized Official Phone
(216) 636-7416

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
10D0997101
Facility Type
Ambulance
Certificate Effective Date
March 06, 2026
Certificate Expiration Date
March 05, 2028
Laboratory Director
DONALD W. WOOD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cleveland Clinic Imaging 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 1124751185, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
5
Unchanged
Pos 7
1
Doubled → 2
Pos 8
1
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
5
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 2 → 4 7 → 14 → 5 1 → 2 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 4 + 4 + 1 + 4 + 5 + 2 + 1 + 1 + 6 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1124751185.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Pharmacist
10000 SW INNOVATION WAY
PORT SAINT LUCIE, FL 34987
Nurse Anesthetist, Certified Registered
10000 SW INNOVATION WAY
PORT ST LUCIE, FL 34987
Nurse Practitioner
10000 SW INNOVATION WAY
PORT SAINT LUCIE, FL 34987
Pharmacy Technician
10000 SW INNOVATION WAY
PORT ST LUCIE, FL 34987
Pathology (Anatomic Pathology & Clinical Pathology)
10000 SW INNOVATION WAY
PORT ST LUCIE, FL 34987
Emergency Medicine
10000 SW INNOVATION WAY
PORT ST LUCIE, FL 34987
Colon & Rectal Surgery
10000 SW INNOVATION WAY
PORT ST LUCIE, FL 34987
Anesthesiology (Pain Medicine)
10000 SW INNOVATION WAY
PORT ST LUCIE, FL 34987
Obstetrics & Gynecology
10000 SW INNOVATION WAY
PORT SAINT LUCIE, FL 34987
Obstetrics & Gynecology
10000 SW INNOVATION WAY
PORT SAINT LUCIE, FL 34987
Registered Nurse (Oncology)
10000 SW INNOVATION WAY
PORT SAINT LUCIE, FL 34987
Nurse Practitioner (Acute Care)
10000 SW INNOVATION WAY
PORT ST LUCIE, FL 34987
Internal Medicine
10000 SW INNOVATION WAY, ATTN: HOSPITALISTS OFFICE
PORT ST LUCIE, FL 34987
Internal Medicine
10000 SW INNOVATION WAY
PORT SAINT LUCIE, FL 34987
Internal Medicine
10000 SW INNOVATION WAY
PORT ST LUCIE, FL 34987
Internal Medicine
10000 SW INNOVATION WAY
PORT ST LUCIE, FL 34987
Nurse Anesthetist, Certified Registered
10000 SW INNOVATION WAY
PORT SAINT LUCIE, FL 34987
Internal Medicine
10000 SW INNOVATION WAY
PORT ST LUCIE, FL 34987
Psychiatry & Neurology (Neurocritical Care)
10000 SW INNOVATION WAY
PORT ST LUCIE, FL 34987

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124751185, enumerated as an "organization" on July 07, 2022.

The provider is located at 10000 SW INNOVATION WAY PORT SAINT LUCIE, FL 34987 and the phone number is (772) 345-5236.

Clinic/Center with taxonomy code 261QM1200X and a focus in Magnetic Resonance Imaging (MRI).