ADVENTHEALTH IMAGING CENTER PORT ORANGE
NPI 1316673668
Clinic/Center - Radiology in Port Orange, FL
NPI Status: Active since July 28, 2022
Contact Information
5821 S. WILLIAMSON BLVD
SUITE 101
PORT ORANGE, FL
ZIP 32128
Phone: (386) 231-2951
Fax: (386) 231-2952
- Organization
- Clinic/Center
- Radiology
- Accepts Insurance
- CLIA Number: 10D2269619
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-28-2026
About ADVENTHEALTH IMAGING CENTER PORT ORANGE
This page provides the complete NPI Profile along with additional information for Adventhealth Imaging Center Port Orange, a provider established in Port Orange, Florida operating as a Clinic/center, focusing in radiology . The healthcare provider is registered in the NPI registry with number 1316673668 assigned on July 2022. The practitioner's primary taxonomy code is 261QR0200X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Michael Mazeres (Vp/cfo)
- NPI
- 1316673668
- Provider Name
- ADVENTHEALTH IMAGING CENTER PORT ORANGE
- Entity Type
- Organization
- Location Address
- 5821 S. WILLIAMSON BLVD SUITE 101 PORT ORANGE, FL 32128
- Location Phone
- (386) 231-2951
- Location Fax
- (386) 231-2952
- Mailing Address
- 5821 S. WILLIAMSON BLVD SUITE 101 PORT ORANGE, FL 32128
- Mailing Phone
- (386) 231-2951
- Mailing Fax
- (386) 231-2952
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 07-28-2022
- Last Update Date
- 07-28-2022
- 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
Clinic/Center Radiology
- Taxonomy Code
- 261QR0200X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 1826 ($0 Medical Deductible, $0 Primary Care Copay- Visits 1 & 2, Specialist & Urgent Care Copay, Open Access) - HMO
- Bronze 1826 + Adult Dental + Adult Vision ($0 Medical Deductible, $0 Primary Care Copay- Visits 1 & 2, Specialist & Urgent Care Copay, Open Access) - HMO
- Bronze Savings 1820 (Primary Care Copay Visits 1-5, Open Access) - HMO
- Bronze Savings 1820 + Adult Dental + Adult Vision (Primary Care Copay Visits 1-5, Open Access) - HMO
- Bronze Standard 1828 - HMO
- Bronze Value 1814 (High Value Network Savings, Open Access) - HMO
- Bronze Value 1814 + Adult Dental + Adult Vision (High Value Network Savings, Open Access) - HMO
- Catastrophic 1746 (Primary Care Copay Visits 1-3, Open Access) - HMO
- Gold 1742 (Emergency Room & Inpatient Hospitalization Copay, $0 Outpatient Labs, $0 MRI, Open Access) - HMO
- Gold 1742 + Adult Dental + Adult Vision (Emergency Room & Inpatient Hospitalization Copay, $0 Outpatient Labs, $0 MRI, Open Access) - HMO
- Gold Savings 1825 ($25 Primary Care Copay, $50 Specialist Copay, Open Access) - HMO
- Gold Savings 1825 + Adult Dental + Adult Vision ($25 Primary Care Copay, $50 Specialist Copay, Open Access) - HMO
- Gold Standard 1833 - HMO
- Gold Value 1819 ($2,200 Tier 1 Medical Deductible, High Value Network Savings, Open Access) - HMO
- Gold Value 1819 + Adult Dental + Adult Vision ($2,200 Tier 1 Medical Deductible, High Value Network Savings, Open Access) - HMO
- Gold Value 1819 + Enhanced Diabetes Benefits ($2,200 Tier 1 Medical Deductible, High Value Network Savings, Open Access) - HMO
- Silver 1664 (Primary Care & Specialist Copays, Open Access) - HMO
- Silver 1664 + Adult Dental + Adult Vision (Primary Care & Specialist Copays, Open Access) - HMO
- Silver Savings 1821 (Primary Care Copay, Open Access) - HMO
- Silver Savings 1821 + Adult Dental + Adult Vision (Primary Care Copay, Open Access) - HMO
- Bronze Classic 4700 - HMO
- Bronze Classic 4700 | with AdventHealth - HMO
- Bronze Classic Standard - HMO
- Bronze Classic Standard | with AdventHealth - HMO
- Bronze Elite + PCP Saver Plus - HMO
- Bronze Elite + PCP Saver Plus | with AdventHealth - HMO
- Bronze Simple Breathe Easy with Enhanced COPD Benefits - HMO
- Bronze Simple Chronic Care CKM - HMO
- Bronze Simple Diabetes - HMO
- Gold Classic Standard - HMO
- Gold Classic Standard | with AdventHealth - HMO
- Gold Elite Saver Plus | with AdventHealth - HMO
- Gold Simple - HMO
- Gold Simple | with AdventHealth - HMO
- Silver Classic Standard - HMO
- Silver Classic Standard | with AdventHealth - HMO
- Silver Elite - HMO
- Silver Elite | with AdventHealth - HMO
- Silver Simple Breathe Easy with Enhanced COPD Benefits - HMO
- Silver Simple Chronic Care CKM - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 10D2269619
- Facility Type
- Physician Office
- Certificate Effective Date
- September 29, 2024
- Certificate Expiration Date
- September 28, 2026
- Laboratory Director
- TIMOTHY E. FARLEY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Adventhealth Imaging Center Port Orange 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 1316673668, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
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 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
PORT ORANGE, FL 32128
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316673668, enumerated as an "organization" on July 28, 2022.
The provider is located at 5821 S. WILLIAMSON BLVD SUITE 101 PORT ORANGE, FL 32128 and the phone number is (386) 231-2951.
Clinic/Center with taxonomy code 261QR0200X and a focus in Radiology.
The provider might be accepting Accepts: Health First Commercial Plans, Inc. and Oscar. Please consult your insurance carrier or call the provider to verify.
