ST. LUKES CENTER FOR DIAGNOSTIC IMAGING LLC
NPI 1497791321
Radiology - Diagnostic Radiology in Creve Coeur, MO

NPI Status: Active since June 20, 2006

Contact Information

11605 STUDT AVENUE
STE 107
CREVE COEUR, MO
ZIP 63141
Phone: (314) 872-7460
Fax: (314) 872-7495

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  • Organization
  • Radiology
  • Diagnostic Radiology
  • CLIA Number: 26D2069781
  • CLIA Cert. Type: Other - OUTPATIENT IMAGING
  • CLIA Exp. Date: 12-02-2025

About ST. LUKES CENTER FOR DIAGNOSTIC IMAGING LLC

This page provides the complete NPI Profile along with additional information for St. Lukes Center For Diagnostic Imaging Llc, a provider established in Creve Coeur, Missouri operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1497791321 assigned on June 2006. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 6 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 authorized official of this NPI record is Donald D Jacobsen (Officer On The Board Secretary)

NPI
1497791321
Provider Name
ST. LUKES CENTER FOR DIAGNOSTIC IMAGING LLC
Entity Type
Organization
Location Address
11605 STUDT AVENUE STE 107 CREVE COEUR, MO 63141
Location Phone
(314) 872-7460
Location Fax
(314) 872-7495
Mailing Address
PO BOX 790120 ST. LOUIS, MO 63179
Mailing Phone
(952) 542-8553
Mailing Fax
(314) 872-7495
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-20-2006
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

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 ON THE BOARD 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
26D2069781
Facility Type
Other - OUTPATIENT IMAGING
Certificate Effective Date
December 03, 2023
Certificate Expiration Date
December 02, 2025
Laboratory Director
KISHAN YALAVARTHI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to St. Lukes Center For Diagnostic Imaging Llc 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 1497791321, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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
9
Doubled → 18 → 1 + 8
Pos 4
7
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
9
Unchanged
Pos 7
1
Doubled → 2
Pos 8
3
Unchanged
Pos 9
2
Doubled → 4
Check
1
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 7 → 14 → 5 1 → 2 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 8 + 7 + 1 + 4 + 9 + 2 + 3 + 4 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1497791321.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497791321, enumerated as an "organization" on June 20, 2006.

The provider is located at 11605 STUDT AVENUE STE 107 CREVE COEUR, MO 63141 and the phone number is (314) 872-7460.

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