PROLIANCE SURGEONS, INC., P.S.
NPI 1255903720
Clinic/Center - Magnetic Resonance Imaging (MRI) in Covington, WA

NPI Status: Active since July 14, 2021

Contact Information

27005 168TH PLACE SE
SUITE 201
COVINGTON, WA
ZIP 98042
Phone: (253) 630-3660
Fax: (253) 631-1591

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  • Organization
  • Clinic/Center
  • Magnetic Resonance Imaging (MRI)
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About PROLIANCE SURGEONS, INC., P.S.

This page provides the complete NPI Profile along with additional information for Proliance Surgeons, Inc., P.s., a provider established in Covington, Washington operating as a Clinic/center, focusing in magnetic resonance imaging (mri) . The healthcare provider is registered in the NPI registry with number 1255903720 assigned on July 2021. The practitioner's primary taxonomy code is 261QM1200X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Proliance Surgeons, Inc., P.s. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mrs. Laura Kleisle (Chief Risk Officer)

NPI
1255903720
Provider Name
PROLIANCE SURGEONS, INC., P.S.
Entity Type
Organization
Location Address
27005 168TH PLACE SE SUITE 201 COVINGTON, WA 98042
Location Phone
(253) 630-3660
Location Fax
(253) 631-1591
Mailing Address
4011 TALBOT RD S STE 300 RENTON, WA 98055
Mailing Phone
(425) 656-5060
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-14-2021
Last Update Date
07-14-2021
Code Navigator



Proliance Surgeons, Inc., P.s. is a medicare supplier with PTAN 20658389 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Traction Equipment or Canes and/or Crutches or Walkers or Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf.

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

Clinic/Center Magnetic Resonance Imaging (MRI)

Taxonomy Code
261QM1200X
Type
Ambulatory Health Care Facilities

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)
12085R0202XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Radiology

 
22085R0204XAllopathic & Osteopathic Physicians

Radiology
Vascular & Interventional Radiology

 
32471M1202XTechnologists, Technicians & Other Technical Service Providers

Radiologic Technologist
Magnetic Resonance Imaging

 
4261QR0200XAmbulatory Health Care Facilities

Clinic/Center
Radiology

 

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

MRS. LAURA KLEISLE

Authorized Official Title
CHIEF RISK OFFICER
Authorized Official Phone
(206) 838-2590

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20658389
Accepts Medicare Assignment
YES
Provider Type List
PHYSICIAN ASSISTANT, PHYSICIAN – ORTHOPEDIC/ORTHOPEDIC SURGERY, MULTI-SPECIALTY - PHYSICIAN.
Competitive Bidding
NO

Supplies List

  • Traction Equipment - Traction tables, Traction machines, Inversion tables
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
  • Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads

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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 1255903720, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
2
Doubled → 4
Check
0
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 5 → 10 → 1 9 → 18 → 9 3 → 6 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 0 + 5 + 1 + 8 + 0 + 6 + 7 + 4 + 24 = 60

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

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

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1255903720.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255903720, enumerated as an "organization" on July 14, 2021.

The provider is located at 27005 168TH PLACE SE SUITE 201 COVINGTON, WA 98042 and the phone number is (253) 630-3660.

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