LAKESIDE OPEN MRI OF TAVARES
NPI 1467491993
Clinic/Center - Radiology in Tavares, FL

NPI Status: Active since June 06, 2006

Contact Information

1879 NIGHTINGALE LN
SUITE A-1
TAVARES, FL
ZIP 32778
Phone: (352) 742-9211
Fax: (352) 742-9406

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  • Organization
  • Clinic/Center
  • Radiology

About LAKESIDE OPEN MRI OF TAVARES

This page provides the complete NPI Profile along with additional information for Lakeside Open Mri Of Tavares, a provider established in Tavares, Florida operating as a Clinic/center, focusing in radiology . The healthcare provider is registered in the NPI registry with number 1467491993 assigned on June 2006. The practitioner's primary taxonomy code is 261QR0200X with license number HCC5152 (FL). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Lakeside Open Mri Of Tavares. The authorized official of this NPI record is Shaun P Woodburn (President)

NPI
1467491993
Provider Legal Name
OPEN MRI OF ORLANDO INC
Other Organization Name
LAKESIDE OPEN MRI OF TAVARES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1879 NIGHTINGALE LN SUITE A-1 TAVARES, FL 32778
Location Phone
(352) 742-9211
Location Fax
(352) 742-9406
Mailing Address
1879 NIGHTINGALE LN SUITE A-1 TAVARES, FL 32778
Mailing Phone
(352) 742-9211
Mailing Fax
(352) 742-9406
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-06-2006
Last Update Date
08-22-2020
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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

Taxonomy Code
261QR0200X
Type
Ambulatory Health Care Facilities
License No.
HCC5152
License State
FL

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.

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

SHAUN P WOODBURN

Authorized Official Title
PRESIDENT
Authorized Official Phone
(352) 742-9211

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
V2544OTHER (01)FLBLUE CROSS AND BLUE SHEIL

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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 1467491993, we treat the final digit (3) 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 77. The final step is to find the difference between that total and the next multiple of ten (80 - 77 = 3).

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
6
Doubled → 12 → 1 + 2
Pos 4
7
Unchanged
Pos 5
4
Doubled → 8
Pos 6
9
Unchanged
Pos 7
1
Doubled → 2
Pos 8
9
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
3
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 6 → 12 → 3 4 → 8 1 → 2 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 2 + 7 + 8 + 9 + 2 + 9 + 1 + 8 + 24 = 77

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

The next multiple of ten after 77 is 80. The difference is the calculated check digit.

80 - 77 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1467491993.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Internal Medicine
1879 NIGHTINGALE LN, SUITE B1
TAVARES, FL 32778
Clinic/Center (Ambulatory Surgical)
1879 NIGHTINGALE LN, A-2
TAVARES, FL 32778
Plastic Surgery
1879 NIGHTINGALE LN, A-2
TAVARES, FL 32778
Plastic Surgery
1879 NIGHTINGALE LN, A-2
TAVARES, FL 32778
Internal Medicine (Gastroenterology)
1879 NIGHTINGALE LN, SUITE C-2
TAVARES, FL 32778
Internal Medicine (Cardiovascular Disease)
1879 NIGHTINGALE LN, STE C-1
TAVARES, FL 32778
Internal Medicine (Cardiovascular Disease)
1879 NIGHTINGALE LN, SUITE C-1
TAVARES, FL 32778
Plastic Surgery
1879 NIGHTINGALE LN, SUITE #A-2
TAVARES, FL 32778
Internal Medicine
1879 NIGHTINGALE LN
TAVARES, FL 32778
Nurse Practitioner (Acute Care)
1879 NIGHTINGALE LN
TAVARES, FL 32778
Surgery
1879 NIGHTINGALE LN, STE B4
TAVARES, FL 32778
Nurse Practitioner
1879 NIGHTINGALE LN, SUITE C-1
TAVARES, FL 32778

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467491993, enumerated as an "organization" on June 06, 2006.

The provider is located at 1879 NIGHTINGALE LN SUITE A-1 TAVARES, FL 32778 and the phone number is (352) 742-9211.

Clinic/Center with taxonomy code 261QR0200X and a focus in Radiology.

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