MIDWEST BREAST CARE CENTER
NPI 1396923694
Radiology - Diagnostic Radiology in Saint Louis, MO

NPI Status: Active since February 08, 2008

Contact Information

450 N NEW BALLAS RD
SUITE 250
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 567-4449
Fax: (314) 567-0762

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  • Organization
  • Radiology
  • Diagnostic Radiology
  • CLIA Number: 26D2016136
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 04-09-2027

About MIDWEST BREAST CARE CENTER

This page provides the complete NPI Profile along with additional information for Midwest Breast Care Center, a provider established in Saint Louis, Missouri operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1396923694 assigned on February 2008. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Midwest Breast Care Center. The authorized official of this NPI record is Donald D. Jacobsen (Officer (secretary))

NPI
1396923694
Provider Legal Name
ST. LUKE'S WHC, LLC
Other Organization Name
MIDWEST BREAST CARE CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
450 N NEW BALLAS RD SUITE 250 SAINT LOUIS, MO 63141
Location Phone
(314) 567-4449
Location Fax
(314) 567-0762
Mailing Address
NW 5946 P.O. BOX 1450 MINNEAPOLIS, MN 55485
Mailing Phone
(952) 542-8553
Mailing Fax
(314) 567-0762
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-08-2008
Last Update Date
02-08-2008
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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

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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.

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

DONALD D. JACOBSEN

Authorized Official Title
OFFICER (SECRETARY)
Authorized Official Phone
(952) 543-6500

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
26D2016136
Facility Type
Community Clinic
Certificate Effective Date
April 10, 2025
Certificate Expiration Date
April 09, 2027
Laboratory Director
DONGSI LU
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Midwest Breast Care Center 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 1396923694, we treat the final digit (4) 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 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 4).

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
9
Doubled → 18 → 1 + 8
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
2
Unchanged
Pos 7
3
Doubled → 6
Pos 8
6
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
4
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 9 → 18 → 9 9 → 18 → 9 3 → 6 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 8 + 6 + 1 + 8 + 2 + 6 + 6 + 1 + 8 + 24 = 76

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

The next multiple of ten after 76 is 80. The difference is the calculated check digit.

80 - 76 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1396923694.

Other Providers at the Same Location


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

Internal Medicine (Cardiovascular Disease)
450 N NEW BALLAS RD, SUITE 170
SAINT LOUIS, MO 63141
Internal Medicine (Cardiovascular Disease)
450 N NEW BALLAS RD, STE 170W
SAINT LOUIS, MO 63141
Internal Medicine (Cardiovascular Disease)
450 N NEW BALLAS RD, STE 170W
SAINT LOUIS, MO 63141
Radiology (Diagnostic Radiology)
450 N NEW BALLAS RD, STE. 250
SAINT LOUIS, MO 63141
Radiology (Diagnostic Radiology)
450 N NEW BALLAS RD, STE. 250
SAINT LOUIS, MO 63141
Clinic/Center (Ambulatory Surgical)
450 N NEW BALLAS RD, STE 103
SAINT LOUIS, MO 63141
Anesthesiology
450 N NEW BALLAS RD, SUITE 103
SAINT LOUIS, MO 63141
Radiology (Diagnostic Radiology)
450 N NEW BALLAS RD, STE 20
ST LOUIS, MO 63141
Clinic/Center (Recovery Care)
450 N NEW BALLAS RD, SUITE 253
SAINT LOUIS, MO 63141
Anesthesiology
450 N NEW BALLAS RD
SAINT LOUIS, MO 63141
Dentist (General Practice)
450 N NEW BALLAS RD, SUITE 200
SAINT LOUIS, MO 63141
Dentist (General Practice)
450 N NEW BALLAS RD, SUITE #200
SAINT LOUIS, MO 63141
Internal Medicine (Pulmonary Disease)
450 N NEW BALLAS RD, SUITE 262
SAINT LOUIS, MO 63141
Dentist (General Practice)
450 N NEW BALLAS RD, SUITE #200
SAINT LOUIS, MO 63141
Anesthesiology
450 N NEW BALLAS RD
SAINT LOUIS, MO 63141
Clinic/Center (Medical Specialty)
450 N NEW BALLAS RD, SUITE 110 SOUTH WING
SAINT LOUIS, MO 63141
Clinic/Center (Radiology)
450 N NEW BALLAS RD, SUITE 20-LL
SAINT LOUIS, MO 63141
Internal Medicine (Cardiovascular Disease)
450 N NEW BALLAS RD, STE 270 WEST WING
SAINT LOUIS, MO 63141
Clinic/Center (Ambulatory Surgical)
450 N NEW BALLAS RD, STE. 206 SOUTH WING
SAINT LOUIS, MO 63141
Internal Medicine (Clinical Cardiac Electrophysiology)
450 N NEW BALLAS RD, STE 270 W
SAINT LOUIS, MO 63141

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396923694, enumerated as an "organization" on February 08, 2008.

The provider is located at 450 N NEW BALLAS RD SUITE 250 SAINT LOUIS, MO 63141 and the phone number is (314) 567-4449.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.