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

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  • 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
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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

Clinic/Center Radiology, Mammography

Taxonomy Code
261QR0206X
Type
Ambulatory Health Care Facilities
License No.
2289
License State
OK

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

STANELY HUPFELD

Authorized Official Title
PRESIDENT/CEO
Authorized Official Phone
(405) 949-6066

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.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
3
Doubled → 6
Pos 4
6
Unchanged
Pos 5
1
Doubled → 2
Pos 6
5
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
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 3 → 6 1 → 2 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 6 + 6 + 2 + 5 + 1 + 0 + 7 + 1 + 4 + 24 = 61

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.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1336155779.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Clinic/Center (Rehabilitation)
4100 S DOUGLAS AVE
OKLAHOMA CITY, OK 73109
Physical Therapist
4100 S DOUGLAS AVE
OKLAHOMA CITY, OK 73109
Speech-Language Pathologist
4100 S DOUGLAS AVE
OKLAHOMA CITY, OK 73109
Speech-Language Pathologist
4100 S DOUGLAS AVE
OKLAHOMA CITY, OK 73109
Physical Therapy Assistant
4100 S DOUGLAS AVE
OKLAHOMA CITY, OK 73109
Physical Therapy Assistant
4100 S DOUGLAS AVE, 4100 SOUTH DOUGLAS AVENUE
OKLAHOMA CITY, OK 73109
Speech-Language Pathologist
4100 S DOUGLAS AVE
OKLAHOMA CITY, OK 73109
Occupational Therapist
4100 S DOUGLAS AVE
OKLAHOMA CITY, OK 73109
Physical Therapist
4100 S DOUGLAS AVE
OKLAHOMA CITY, OK 73109
Occupational Therapist
4100 S DOUGLAS AVE
OKLAHOMA CITY, OK 73109
Occupational Therapist
4100 S DOUGLAS AVE
OKLAHOMA CITY, OK 73109
Physical Therapist
4100 S DOUGLAS AVE
OKLAHOMA CITY, OK 73109
Physical Medicine & Rehabilitation
4100 S DOUGLAS AVE
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.