INDEPENDENT MOBIL DIAGNOSTICE TESTING FACILITY
NPI 1437434206
Preferred Provider Organization in Cleburne, TX

NPI Status: Active since October 12, 2011

Contact Information

1661 WOODARD AVE
SUITE 110
CLEBURNE, TX
ZIP 76033
Phone: (817) 494-6875

Get Directions Write a Review

  • Organization
  • Preferred Provider Organization

About INDEPENDENT MOBIL DIAGNOSTICE TESTING FACILITY

This page provides the complete NPI Profile along with additional information for Independent Mobil Diagnostice Testing Facility, a provider established in Cleburne, Texas operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1437434206 assigned on October 2011. The practitioner's primary taxonomy code is 305R00000X with license number 22799 (TX). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Mr. Edmond S Maxon Lbsw (Ed)

NPI
1437434206
Provider Name
INDEPENDENT MOBIL DIAGNOSTICE TESTING FACILITY
Entity Type
Organization
Location Address
1661 WOODARD AVE SUITE 110 CLEBURNE, TX 76033
Location Phone
(817) 494-6875
Mailing Address
1661 WOODARD AVE SUITE 110 CLEBURNE, TX 76033
Mailing Phone
(817) 494-6875
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-12-2011
Last Update Date
10-12-2011
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

Preferred Provider Organization

Taxonomy Code
305R00000X
Type
Managed Care Organizations
License No.
22799
License State
TX
Taxonomy Description
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1320600000XResidential Treatment Facilities

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

22799 (TX)

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. EDMOND S MAXON LBSW

Authorized Official Title
ED
Authorized Official Phone
(817) 494-6875

Reviews for INDEPENDENT MOBIL DIAGNOSTICE TESTING FACILITY

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1437434206, 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
4
Unchanged
Pos 3
3
Doubled → 6
Pos 4
7
Unchanged
Pos 5
4
Doubled → 8
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
2
Unchanged
Pos 9
0
Doubled → 0
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 3 → 6 4 → 8 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 6 + 7 + 8 + 3 + 8 + 2 + 0 + 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 1437434206.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437434206, enumerated as an "organization" on October 12, 2011.

The provider is located at 1661 WOODARD AVE SUITE 110 CLEBURNE, TX 76033 and the phone number is (817) 494-6875.

Preferred Provider Organization with taxonomy code 305R00000X.