SKY LAKES OUTPATIENT IMAGING
NPI 1245572023
Radiology - Body Imaging in Klamath Falls, OR

NPI Status: Active since March 20, 2013

Contact Information

2900 DAGGETT AVE
KLAMATH FALLS, OR
ZIP 97601
Phone: (541) 274-6221

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Radiology
Body Imaging

About SKY LAKES OUTPATIENT IMAGING

This page provides the complete NPI Profile along with additional information for Sky Lakes Outpatient Imaging, a provider established in Klamath Falls, Oregon operating as a Radiology, focusing in body imaging . The healthcare provider is registered in the NPI registry with number 1245572023 assigned on March 2013. The practitioner's primary taxonomy code is 2085B0100X. 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 Richard Rico (Vp/cfo)

NPI: 1245572023
Provider Name: SKY LAKES OUTPATIENT IMAGING
Entity Type: Organization
Location Address: 2900 DAGGETT AVE KLAMATH FALLS, OR 97601
Location Phone: (541) 274-6221
Mailing Address: 2865 DAGGETT AVE KLAMATH FALLS, OR 97601
Mailing Phone: (541) 274-6221
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 03-20-2013
Last Update Date: 08-06-2013
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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: Radiology Body Imaging
Taxonomy Code: 2085B0100X
Type: Allopathic & Osteopathic Physicians
Taxonomy Description: A Radiology doctor of Osteopathy that specializes in Body 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	282N00000X	Hospitals	General Acute Care Hospital	14-0724 (OR)

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: RICHARD RICO
Authorized Official Title: VP/CFO
Authorized Official Phone: (541) 274-6150

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	2	4	5	5	7	2	0	2	3
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	8	5	10	7	4	0	4
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 1 + 0 + 7 + 4 + 0 + 4 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 3									3

The NPI number 1245572023 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 8 providers are registered at the same or nearby location.

MR. MARK STEPHEN GOODMAN MD

Radiology

(Diagnostic Radiology)