INTERVENTIONAL SPINE AND REHABILITATION OF LOUISIANA
NPI 1376054726
Non-Pharmacy Dispensing Site in Baton Rouge, LA

NPI Status: Active since October 12, 2017

Contact Information

4021 W E HECK CT.
BUILDING M-1
BATON ROUGE, LA
ZIP 70816
Phone: (479) 636-9702
Fax: (877) 427-2307

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  • Organization
  • Non-Pharmacy Dispensing Site
  • CLIA Number: 19D2069459
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-24-2025

About INTERVENTIONAL SPINE AND REHABILITATION OF LOUISIANA

This page provides the complete NPI Profile along with additional information for Interventional Spine And Rehabilitation Of Louisiana, a provider established in Baton Rouge, Louisiana operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1376054726 assigned on October 2017. The practitioner's primary taxonomy code is 332900000X with license number MD202152 (LA). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Interventional Spine And Rehabilitation Of Louisiana. The authorized official of this NPI record is Mackenzie Hahn (Ncpdp Coordinator)

NPI
1376054726
Provider Legal Name
M V JOHN M D LLC
Other Organization Name
INTERVENTIONAL SPINE AND REHABILITATION OF LOUISIANA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4021 W E HECK CT. BUILDING M-1 BATON ROUGE, LA 70816
Location Phone
(479) 636-9702
Location Fax
(877) 427-2307
Mailing Address
PO BOX 3328 BENTONVILLE, AR 72712
Mailing Phone
(479) 636-9702
Mailing Fax
(877) 427-2307
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-12-2017
Last Update Date
11-15-2017
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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

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
License No.
MD202152
License State
LA
Taxonomy Description
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

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

MACKENZIE HAHN

Authorized Official Title
NCPDP COORDINATOR
Authorized Official Phone
(479) 636-9702

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
19D2069459
Facility Type
Physician Office
Certificate Effective Date
November 25, 2023
Certificate Expiration Date
November 24, 2025
Laboratory Director
JOHN V. MARKUS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Interventional Spine And Rehabilitation Of Louisiana 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 1376054726, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 4 + 6 + 0 + 5 + 8 + 7 + 4 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1376054726.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376054726, enumerated as an "organization" on October 12, 2017.

The provider is located at 4021 W E HECK CT. BUILDING M-1 BATON ROUGE, LA 70816 and the phone number is (479) 636-9702.

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.