COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC - FLAGSTAFF
NPI 1235616152
Radiology - Vascular & Interventional Radiology in Flagstaff, AZ

NPI Status: Active since July 24, 2018

Contact Information

2301 N 4TH ST
FLAGSTAFF, AZ
ZIP 86004
Phone: (928) 719-7400
Fax: (480) 371-1121

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  • Organization
  • Radiology
  • Vascular & Interventional Radiology
  • CLIA Number: 03D2143743
  • CLIA Cert. Type: Other - OFFICE BASED LAB
  • CLIA Exp. Date: 02-04-2028

About COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC - FLAGSTAFF

This page provides the complete NPI Profile along with additional information for Comprehensive Interventional Care Centers, Pllc - Flagstaff, a provider established in Flagstaff, Arizona operating as a Radiology, focusing in vascular & interventional radiology . The healthcare provider is registered in the NPI registry with number 1235616152 assigned on July 2018. The practitioner's primary taxonomy code is 2085R0204X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Comprehensive Interventional Care Centers, Pllc - Flagstaff operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Comprehensive Interventional Care Centers, Pllc - Flagstaff. The authorized official of this NPI record is Joel R. Rainwater Md (President)

NPI
1235616152
Provider Legal Name
COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC
Other Organization Name
COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC - FLAGSTAFF
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2301 N 4TH ST FLAGSTAFF, AZ 86004
Location Phone
(928) 719-7400
Location Fax
(480) 371-1121
Mailing Address
4001 E BASELINE RD STE 107 GILBERT, AZ 85234
Mailing Phone
(480) 374-7354
Mailing Fax
(480) 371-1121
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-24-2018
Last Update Date
12-22-2020
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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 Vascular & Interventional Radiology

Taxonomy Code
2085R0204X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1213E00000XPodiatric Medicine & Surgery Service Providers

Podiatrist

 

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

JOEL R. RAINWATER MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(480) 374-7354

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
03D2143743
Facility Type
Other - OFFICE BASED LAB
Certificate Effective Date
February 05, 2026
Certificate Expiration Date
February 04, 2028
Laboratory Director
JOEL RAINWATER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Comprehensive Interventional Care Centers, Pllc - Flagstaff 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.

Reviews for COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC - FLAGSTAFF

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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 1235616152, we treat the final digit (2) 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 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

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
2
Unchanged
Pos 3
3
Doubled → 6
Pos 4
5
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
1
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
1
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
2
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 6 → 12 → 3 6 → 12 → 3 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 6 + 5 + 1 + 2 + 1 + 1 + 2 + 1 + 1 + 0 + 24 = 48

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

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1235616152.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Podiatrist
2301 N 4TH ST
FLAGSTAFF, AZ 86004
Radiology (Vascular & Interventional Radiology)
2301 N 4TH ST
FLAGSTAFF, AZ 86004
Podiatrist (Foot & Ankle Surgery)
2301 N 4TH ST
FLAGSTAFF, AZ 86004
Clinic/Center (Ambulatory Surgical)
2301 N 4TH ST
FLAGSTAFF, AZ 86004

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235616152, enumerated as an "organization" on July 24, 2018.

The provider is located at 2301 N 4TH ST FLAGSTAFF, AZ 86004 and the phone number is (928) 719-7400.

Radiology with taxonomy code 2085R0204X and a focus in Vascular & Interventional Radiology.