INTEGRIS SOUTHWEST BREAST CENTER
NPI 1336155779
Clinic/Center - Radiology, Mammography in Oklahoma City, OK
NPI Status: Active since July 31, 2006
Contact Information
4100 S DOUGLAS AVE
OKLAHOMA CITY, OK
ZIP 73109
Phone: (405) 636-7480
- Organization
- Clinic/Center
- Radiology, Mammography
- CLIA Number: 37D0470622
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 06-13-2027
About INTEGRIS SOUTHWEST BREAST CENTER
This page provides the complete NPI Profile along with additional information for Integris Southwest Breast Center, a provider established in Oklahoma City, Oklahoma operating as a Clinic/center, focusing in radiology, mammography . The healthcare provider is registered in the NPI registry with number 1336155779 assigned on July 2006. The practitioner's primary taxonomy code is 261QR0206X with license number 2289 (OK). The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's is doing business as Integris Southwest Breast Center. The authorized official of this NPI record is Stanely Hupfeld (President/ceo)
- NPI
- 1336155779
- Provider Legal Name
- INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORPORATION
- Other Organization Name
- INTEGRIS SOUTHWEST BREAST CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4100 S DOUGLAS AVE OKLAHOMA CITY, OK 73109
- Location Phone
- (405) 636-7480
- Mailing Address
- 5400 N INDEPENDENCE AVE 100 OKLAHOMA CITY, OK 73112
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-31-2006
- Last Update Date
- 05-11-2010
- 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, Mammography
- Taxonomy Code
- 261QR0206X
- Type
- Ambulatory Health Care Facilities
- License No.
- 2289
- License State
- OK
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
- 37D0470622
- Facility Type
- Hospital
- Certificate Effective Date
- June 14, 2025
- Certificate Expiration Date
- June 13, 2027
- Laboratory Director
- DR. PAULA J. ROGERS
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Integris Southwest Breast Center on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 1336155779, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
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 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 13 providers are registered at the same or a nearby location.
OKLAHOMA CITY, OK 73109
OKLAHOMA CITY, OK 73109
OKLAHOMA CITY, OK 73109
OKLAHOMA CITY, OK 73109
OKLAHOMA CITY, OK 73109
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336155779, enumerated as an "organization" on July 31, 2006.
The provider is located at 4100 S DOUGLAS AVE OKLAHOMA CITY, OK 73109 and the phone number is (405) 636-7480.
Clinic/Center with taxonomy code 261QR0206X and a focus in Radiology, Mammography.