DIAGNOSTIC NEURO TECHNOLOGY, LLC
NPI 1366475501
Radiologic Technologist in Bloomington, IL

NPI Status: Active since July 09, 2006

Contact Information

1015 S MERCER AVE
BLOOMINGTON, IL
ZIP 61701
Phone: (309) 662-7500
Fax: (309) 662-7333

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  • Organization
  • Radiologic Technologist

About DIAGNOSTIC NEURO TECHNOLOGY, LLC

This page provides the complete NPI Profile along with additional information for Diagnostic Neuro Technology, Llc, a provider established in Bloomington, Illinois operating as a Radiologic Technologist. The healthcare provider is registered in the NPI registry with number 1366475501 assigned on July 2006. The practitioner's primary taxonomy code is 247100000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. David R Jones Cpa (Chief Financial Officer)

NPI
1366475501
Provider Name
DIAGNOSTIC NEURO TECHNOLOGY, LLC
Entity Type
Organization
Location Address
1015 S MERCER AVE BLOOMINGTON, IL 61701
Location Phone
(309) 662-7500
Location Fax
(309) 662-7333
Mailing Address
1015 S MERCER AVE BLOOMINGTON, IL 61701
Mailing Phone
(309) 662-7500
Mailing Fax
(309) 662-7333
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-09-2006
Last Update Date
01-21-2009
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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

Radiologic Technologist

Taxonomy Code
247100000X
Type
Technologists, Technicians & Other Technical Service Providers
Taxonomy Description
A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MR. DAVID R JONES CPA

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(309) 662-7500

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
212584MEDICARE ID-TYPE UNSPECIFIED (04) 
=========1MEDICAID (05)IL 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1366475501
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23126871050
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 8 + 7 + 1 + 0 + 5 + 0 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1366475501 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

DR. RAMSIN BENYAMIN MD, DABPM, FIPP

Pain Medicine

(Interventional Pain Medicine)

1015 S MERCER AVE
BLOOMINGTON, IL
ZIP 61701

(309) 662-4321

DR. JI LI MD

Anesthesiology

(Pain Medicine)

1015 S MERCER AVE
BLOOMINGTON, IL
ZIP 61701

(309) 662-0088

CATHERINE L BALLARD RN

Registered Nurse

1015 S MERCER AVE
BLOOMINGTON, IL
ZIP 61701

(309) 662-0088

DR. NENITA C TUDTUD M.D.

Physical Medicine & Rehabilitation

1015 S MERCER AVE
BLOOMINGTON, IL
ZIP 61701

(309) 662-7500

DR. KEITH A KATTNER D.O.

Neurological Surgery

1015 S MERCER AVE
BLOOMINGTON, IL
ZIP 61701

(309) 662-7500

CENTRAL ILLINOIS NEURO HEALTH SCIENCES, LTD..

Neurological Surgery

1015 S MERCER AVE
BLOOMINGTON, IL
ZIP 61701

(309) 662-7500

BLOOMINGTON REHABILITATION ASSOCIATES, LLC

Physical Medicine & Rehabilitation

1015 S MERCER AVE
BLOOMINGTON, IL
ZIP 61701

(309) 662-7500

SETH R. HATLELID PSY.D.

Psychologist

(Clinical)

1015 S MERCER AVE
BLOOMINGTON, IL
ZIP 61701

(309) 706-9532

MS. RACHEL A GAWTHORP RN

Registered Nurse

1015 S MERCER AVE
BLOOMINGTON, IL
ZIP 61701

(309) 662-0088

DR. PAUL D WILLETT PH.D.

Psychologist

(Clinical)

1015 S MERCER AVE
BLOOMINGTON, IL
ZIP 61701

(309) 706-3190

NEUROLOGY SOLUTIONS

Clinic/Center

(Health Service)

1015 S MERCER AVE
BLOOMINGTON, IL
ZIP 61701

(309) 661-4325

MIDWEST NEUROMONITORING, INC.

Physiological Laboratory

1015 S MERCER AVE
BLOOMINGTON, IL
ZIP 61701

(309) 820-7982

DONNY BOUNDS RN

Registered Nurse

1015 S MERCER AVE
BLOOMINGTON, IL
ZIP 61701

(309) 662-4321

DR. AMARESH VYDYANATHAN MD, MS

Pain Medicine

(Interventional Pain Medicine)

1015 S MERCER AVE
BLOOMINGTON, IL
ZIP 61701

(309) 662-4321

MRS. STEPHANIE ANNE BUTLER FNP-BC

Nurse Practitioner

(Family)

1015 S MERCER AVE
BLOOMINGTON, IL
ZIP 61701

(309) 662-4321

CHAMPION FITNESS, INC

Clinic/Center

(Physical Therapy)

1015 S MERCER AVE
BLOOMINGTON, IL
ZIP 61701

(309) 663-6777

VITALREHAB PHYSICAL THERAPY, LLC

Clinic/Center

(Physical Therapy)

1015 S MERCER AVE
BLOOMINGTON, IL
ZIP 61701

(309) 310-9610

DR. RICARDO VALLEJO MD

Anesthesiology

(Pain Medicine)

1015 S MERCER AVE
BLOOMINGTON, IL
ZIP 61701

(309) 662-4321

DR. EMILIO M NARDONE M.D.

Neurological Surgery

1015 S MERCER AVE
BLOOMINGTON, IL
ZIP 61701

(309) 662-7500

DR. ANN R STROINK M.D.

Neurological Surgery

1015 S MERCER AVE
BLOOMINGTON, IL
ZIP 61701

(309) 662-7500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366475501, enumerated as an "organization" on July 09, 2006.

The provider is located at 1015 S MERCER AVE BLOOMINGTON, IL 61701 and the phone number is (309) 662-7500.

Radiologic Technologist with taxonomy code 247100000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.