PERIGON PROSTATE CENTER LLC
NPI 1184341489
Clinic/Center - Radiology, Mobile in Oklahoma City, OK

NPI Status: Active since October 26, 2022

Contact Information

100 SE 59TH ST
OKLAHOMA CITY, OK
ZIP 73129
Phone: (408) 418-2200
Fax: (405) 418-2901

NPI Profile Information
Primary Taxonomy
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Radiology, Mobile

About PERIGON PROSTATE CENTER LLC

This page provides the complete NPI Profile along with additional information for Perigon Prostate Center Llc, a provider established in Oklahoma City, Oklahoma operating as a Clinic/center, focusing in radiology, mobile . The healthcare provider is registered in the NPI registry with number 1184341489 assigned on October 2022. The practitioner's primary taxonomy code is 261QR0208X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Derek Prentice (Owner)

NPI: 1184341489
Provider Name: PERIGON PROSTATE CENTER LLC
Entity Type: Organization
Location Address: 100 SE 59TH ST OKLAHOMA CITY, OK 73129
Location Phone: (408) 418-2200
Location Fax: (405) 418-2901
Mailing Address: 5600 N MAY AVE STE 100 OKLAHOMA CITY, OK 73112
Mailing Phone: (405) 418-2200
Mailing Fax: (405) 418-2901
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 10-26-2022
Last Update Date: 10-26-2022
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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 Radiology, Mobile
Taxonomy Code: 261QR0208X
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: DEREK PRENTICE
Authorized Official Title: OWNER
Authorized Official Phone: (405) 650-4786

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	1	8	4	3	4	1	4	8	9
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	1	16	4	6	4	2	4	16
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 6 + 4 + 6 + 4 + 2 + 4 + 1 + 6 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 9									9

The NPI number 1184341489 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.