ADVANCED MEDICAL GROUP, LLC
NPI 1134554538
Radiology - Diagnostic Radiology in Columbia, MO

NPI Status: Active since September 05, 2013

Contact Information

311 N KEENE ST
COLUMBIA, MO
ZIP 65201
Phone: (573) 442-1788
Fax: (573) 442-1789

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  • Organization
  • Radiology
  • Diagnostic Radiology
  • CLIA Number: 26D1075443
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 10-18-2027

About ADVANCED MEDICAL GROUP, LLC

This page provides the complete NPI Profile along with additional information for Advanced Medical Group, Llc, a provider established in Columbia, Missouri operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1134554538 assigned on September 2013. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 13 years ago. Advanced Medical Group, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Greg Johnson (Ceo)

NPI
1134554538
Provider Name
ADVANCED MEDICAL GROUP, LLC
Entity Type
Organization
Location Address
311 N KEENE ST COLUMBIA, MO 65201
Location Phone
(573) 442-1788
Location Fax
(573) 442-1789
Mailing Address
311 N KEENE ST COLUMBIA, MO 65201
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-05-2013
Last Update Date
09-05-2013
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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

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

GREG JOHNSON

Authorized Official Title
CEO
Authorized Official Phone
(573) 442-1788

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
26D1075443
Facility Type
Other
Certificate Effective Date
October 19, 2025
Certificate Expiration Date
October 18, 2027
Laboratory Director
NEAL MEYER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Advanced Medical Group, 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 1134554538, 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 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
1
Unchanged
Pos 3
3
Doubled → 6
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
5
Unchanged
Pos 7
4
Doubled → 8
Pos 8
5
Unchanged
Pos 9
3
Doubled → 6
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 3 → 6 5 → 10 → 1 4 → 8 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 6 + 4 + 1 + 0 + 5 + 8 + 5 + 6 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1134554538.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
311 N KEENE ST
COLUMBIA, MO 65201
Radiology (Diagnostic Radiology)
311 N KEENE ST
COLUMBIA, MO 65201
Radiology (Diagnostic Radiology)
311 N KEENE ST
COLUMBIA, MO 65201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134554538, enumerated as an "organization" on September 05, 2013.

The provider is located at 311 N KEENE ST COLUMBIA, MO 65201 and the phone number is (573) 442-1788.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.