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
- 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
- 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 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) |
|---|---|---|---|---|
| 1 | 213E00000X | Podiatric 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.
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.
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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.
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 48 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
FLAGSTAFF, AZ 86004
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.