GRAND LAKE IMAGING PC
NPI 1184684011
Radiology - Diagnostic Radiology in Grove, OK
NPI Status: Active since March 24, 2006
Contact Information
1001 E 18TH ST
GROVE, OK
ZIP 74344
Phone: (918) 221-7506
- Organization
- Radiology
- Diagnostic Radiology
- Accepts Insurance
- CLIA Number: 37D0952471
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-13-2026
About GRAND LAKE IMAGING PC
This page provides the complete NPI Profile along with additional information for Grand Lake Imaging Pc, a provider established in Grove, Oklahoma operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1184684011 assigned on March 2006. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 3 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. Kevin James Yunt D.o. (President)
- NPI
- 1184684011
- Provider Name
- GRAND LAKE IMAGING PC
- Entity Type
- Organization
- Location Address
- 1001 E 18TH ST GROVE, OK 74344
- Location Phone
- (918) 221-7506
- Mailing Address
- PO BOX 2264 INDIANAPOLIS, IN 46206
- Mailing Phone
- (918) 221-7506
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-24-2006
- Last Update Date
- 03-30-2023
- 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
- 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:
- Harmony by Medica Bronze $0 Copay PCP Visits - PPO
- Harmony by Medica Bronze $0 Copay PCP Visits + Adult Eye Exam - PPO
- Harmony by Medica Bronze Premier - PPO
- Harmony by Medica Bronze Premier + Adult Eye Exam - PPO
- Harmony by Medica Expanded Bronze Standard - PPO
- Harmony by Medica Expanded Bronze Standard + Adult Eye Exam - PPO
- Harmony by Medica Gold $0 Copay PCP Visits - PPO
- Harmony by Medica Gold $0 Copay PCP Visits + Adult Eye Exam - PPO
- Harmony by Medica Gold Share - PPO
- Harmony by Medica Gold Share + Adult Eye Exam - PPO
- Harmony by Medica Gold Standard - PPO
- Harmony by Medica Gold Standard + Adult Eye Exam - PPO
- Harmony by Medica Silver $0 Copay PCP Visits - PPO
- Harmony by Medica Silver $0 Copay PCP Visits + Adult Eye Exam - PPO
- Harmony by Medica Silver Share - PPO
- Harmony by Medica Silver Share + Adult Eye Exam - PPO
- Harmony by Medica Silver Standard - PPO
- Harmony by Medica Silver Standard + Adult Eye Exam - PPO
- MENDING Direct Primary Care Bronze 4950 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
- MENDING Direct Primary Care Gold $0 Ded ($0 DPC $0 PCP + $0 Mental Health) - HMO
- MENDING Direct Primary Care Silver 2300 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
- MENDING Standard Bronze (No Direct Primary Care, for DPC select DPC Bronze) - HMO
- MENDING Standard Gold (No Direct Primary Care, for DPC select DPC Gold) - HMO
- MENDING Standard Silver (No Direct Primary Care, for DPC select DPC Silver) - HMO
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 |
|---|---|---|---|
| DN4636 | OTHER (01) | RAILROAD MEDICARE | |
| 100748880A | MEDICAID (05) | OK |
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
- 37D0952471
- Facility Type
- Physician Office
- Certificate Effective Date
- October 14, 2024
- Certificate Expiration Date
- October 13, 2026
- Laboratory Director
- ASHLEY SHELLEY
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Grand Lake Imaging Pc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Reviews for GRAND LAKE IMAGING PC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 1184684011, 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 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 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 17 providers are registered at the same or a nearby location.
GROVE, OK 74344
GROVE, OK 74344
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184684011, enumerated as an "organization" on March 24, 2006.
The provider is located at 1001 E 18TH ST GROVE, OK 74344 and the phone number is (918) 221-7506.
Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.
The provider might be accepting Accepts: Medica, Mending Health, Railroad Medicare,. Please consult your insurance carrier or call the provider to verify.
