MEDICAL DISTRICT VASCULAR CENTER
NPI 1316351232
Radiology - Vascular & Interventional Radiology in Chicago, IL
NPI Status: Active since June 18, 2014
Contact Information
1105 S. WESTERN AVE.
CHICAGO, IL
ZIP 60612
Phone: (847) 929-5460
Fax: (847) 929-5461
- Organization
- Radiology
- Vascular & Interventional Radiology
- CLIA Number: 14D2099338
- CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
- CLIA Exp. Date: 12-14-2025
About MEDICAL DISTRICT VASCULAR CENTER
This page provides the complete NPI Profile along with additional information for Medical District Vascular Center, a provider established in Chicago, Illinois operating as a Radiology, focusing in vascular & interventional radiology . The healthcare provider is registered in the NPI registry with number 1316351232 assigned on June 2014. The practitioner's primary taxonomy code is 2085R0204X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Medical District Vascular Center. The authorized official of this NPI record is Charles Weis (Executive Vice President And Cfo)
- NPI
- 1316351232
- Provider Legal Name
- SMG BILLING, LLC
- Other Organization Name
- MEDICAL DISTRICT VASCULAR CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1105 S. WESTERN AVE. CHICAGO, IL 60612
- Location Phone
- (847) 929-5460
- Location Fax
- (847) 929-5461
- Mailing Address
- 8930 WAUKEGAN ROAD SUITE 130 MORTON GROVE, IL 60053
- Mailing Phone
- (847) 929-5460
- Mailing Fax
- (847) 929-5461
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-18-2014
- Last Update Date
- 06-18-2014
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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
- 14D2099338
- Facility Type
- End Stage Renal Disease Dialysis Facility
- Certificate Effective Date
- December 15, 2023
- Certificate Expiration Date
- December 14, 2025
- Laboratory Director
- ANDRES SERRANO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Medical District Vascular Center 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 1316351232, 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 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 58 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316351232, enumerated as an "organization" on June 18, 2014.
The provider is located at 1105 S. WESTERN AVE. CHICAGO, IL 60612 and the phone number is (847) 929-5460.
Radiology with taxonomy code 2085R0204X and a focus in Vascular & Interventional Radiology.
