MARSHALL COUNTY MRI, LLC
NPI 1194145714
Clinic/Center - Magnetic Resonance Imaging (MRI) in Benton, KY

NPI Status: Active since April 22, 2014

Contact Information

615 OLD SYMSONIA RD
BENTON, KY
ZIP 42025
Phone: (270) 527-4850

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  • Organization
  • Clinic/Center
  • Magnetic Resonance Imaging (MRI)
  • CLIA Number: 18D0690247
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 08-31-2026

About MARSHALL COUNTY MRI, LLC

This page provides the complete NPI Profile along with additional information for Marshall County Mri, Llc, a provider established in Benton, Kentucky operating as a Clinic/center, focusing in magnetic resonance imaging (mri) . The healthcare provider is registered in the NPI registry with number 1194145714 assigned on April 2014. The practitioner's primary taxonomy code is 261QM1200X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is David G Fuqua (Administrator)

NPI
1194145714
Provider Name
MARSHALL COUNTY MRI, LLC
Entity Type
Organization
Location Address
615 OLD SYMSONIA RD BENTON, KY 42025
Location Phone
(270) 527-4850
Mailing Address
615 OLD SYMSONIA RD BENTON, KY 42025
Mailing Phone
(270) 527-4850
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-22-2014
Last Update Date
04-22-2014
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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

DAVID G FUQUA

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(270) 527-4850

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
18D0690247
Facility Type
Other
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
MR. BRYAN S. CUTSINGER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Marshall County Mri, 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 1194145714, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
Check
4
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 9 → 18 → 9 1 → 2 5 → 10 → 1 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 8 + 4 + 2 + 4 + 1 + 0 + 7 + 2 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1194145714.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Nurse Anesthetist, Certified Registered
615 OLD SYMSONIA RD
BENTON, KY 42025
Nurse Anesthetist, Certified Registered
615 OLD SYMSONIA RD
BENTON, KY 42025
General Acute Care Hospital (Critical Access)
615 OLD SYMSONIA RD
BENTON, KY 42025
Medicare Defined Swing Bed Unit
615 OLD SYMSONIA RD
BENTON, KY 42025
Internal Medicine
615 OLD SYMSONIA RD
BENTON, KY 42025
Nurse Anesthetist, Certified Registered
615 OLD SYMSONIA RD
BENTON, KY 42025
Pharmacy (Institutional Pharmacy)
615 OLD SYMSONIA RD
BENTON, KY 42025
Emergency Medicine
615 OLD SYMSONIA RD
BENTON, KY 42025
Family Medicine
615 OLD SYMSONIA RD
BENTON, KY 42025
Emergency Medicine
615 OLD SYMSONIA RD
BENTON, KY 42025
Nurse Practitioner
615 OLD SYMSONIA RD
BENTON, KY 42025
Nurse Practitioner (Primary Care)
615 OLD SYMSONIA RD
BENTON, KY 42025
Nurse Practitioner (Family)
615 OLD SYMSONIA RD
BENTON, KY 42025

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194145714, enumerated as an "organization" on April 22, 2014.

The provider is located at 615 OLD SYMSONIA RD BENTON, KY 42025 and the phone number is (270) 527-4850.

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