IMAGING CENTER OF SOUTHERN ILLINOIS
NPI 1194710905
Clinic/Center - Radiology in Maryville, IL

NPI Status: Active since September 19, 2005

Contact Information

2016 VADALABENE DR
MARYVILLE, IL
ZIP 62062
Phone: (618) 288-4929
Fax: (618) 288-4531

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  • Organization
  • Clinic/Center
  • Radiology

About IMAGING CENTER OF SOUTHERN ILLINOIS

This page provides the complete NPI Profile along with additional information for Imaging Center Of Southern Illinois, a provider established in Maryville, Illinois operating as a Clinic/center, focusing in radiology . The healthcare provider is registered in the NPI registry with number 1194710905 assigned on September 2005. The practitioner's primary taxonomy code is 261QR0200X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Imaging Center Of Southern Illinois. The authorized official of this NPI record is Mr. Steven Michael Mcrae (Managing Member)

NPI
1194710905
Provider Legal Name
OPEN MRI OF SOUTHERN ILLINOIS LLC
Other Organization Name
IMAGING CENTER OF SOUTHERN ILLINOIS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2016 VADALABENE DR MARYVILLE, IL 62062
Location Phone
(618) 288-4929
Location Fax
(618) 288-4531
Mailing Address
PO BOX 868 EDWARDSVILLE, IL 62025
Mailing Phone
(618) 659-1167
Mailing Fax
(618) 288-4531
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-19-2005
Last Update Date
08-22-2020
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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

Taxonomy Code
261QR0200X
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

MR. STEVEN MICHAEL MCRAE

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(618) 659-1167

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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 1194710905, 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
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
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 9 → 18 → 9 7 → 14 → 5 0 → 0 0 → 0

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 + 1 + 4 + 1 + 0 + 9 + 0 + 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 1194710905.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Counselor (Professional)
2016 VADALABENE DR, SUITE A
MARYVILLE, IL 62062
Dentist (General Practice)
2016 VADALABENE DR
MARYVILLE, IL 62062
Dentist (General Practice)
2016 VADALABENE DR, SUITE C
MARYVILLE, IL 62062
Obstetrics & Gynecology
2016 VADALABENE DR, SUITE B
MARYVILLE, IL 62062
Advanced Practice Midwife
2016 VADALABENE DR
MARYVILLE, IL 62062
Counselor (Mental Health)
2016 VADALABENE DR, SUITE A
MARYVILLE, IL 62062
Nurse Practitioner (Family)
2016 VADALABENE DR
MARYVILLE, IL 62062
Counselor (Professional)
2016 VADALABENE DR, SUITE A
MARYVILLE, IL 62062
Surgery (Vascular Surgery)
2016 VADALABENE DR, SUITE B
MARYVILLE, IL 62062
Family Medicine
2016 VADALABENE DR
MARYVILLE, IL 62062
Obstetrics & Gynecology
2016 VADALABENE DR
MARYVILLE, IL 62062
Dentist
2016 VADALABENE DR
MARYVILLE, IL 62062
Obstetrics & Gynecology
2016 VADALABENE DR
MARYVILLE, IL 62062
Obstetrics & Gynecology
2016 VADALABENE DR
MARYVILLE, IL 62062
Nurse Practitioner (Women's Health)
2016 VADALABENE DR
MARYVILLE, IL 62062

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194710905, enumerated as an "organization" on September 19, 2005.

The provider is located at 2016 VADALABENE DR MARYVILLE, IL 62062 and the phone number is (618) 288-4929.

Clinic/Center with taxonomy code 261QR0200X and a focus in Radiology.