SOUTHERN ILLINOIS IMAGING
NPI 1548986839
Clinic/Center - Radiology in Mount Vernon, IL

NPI Status: Active since October 18, 2022

Contact Information

4119 S WATER TOWER PL STE A
MOUNT VERNON, IL
ZIP 62864
Phone: (618) 246-9595

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  • Organization
  • Clinic/Center
  • Radiology

About SOUTHERN ILLINOIS IMAGING

This page provides the complete NPI Profile along with additional information for Southern Illinois Imaging, a provider established in Mount Vernon, Illinois operating as a Clinic/center, focusing in radiology . The healthcare provider is registered in the NPI registry with number 1548986839 assigned on October 2022. The practitioner's primary taxonomy code is 261QR0200X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Southern Illinois Imaging. The authorized official of this NPI record is Jared Stimpson (Treasurer)

NPI
1548986839
Provider Legal Name
DEACONESS ILLINOIS CROSSROADS INC
Other Organization Name
SOUTHERN ILLINOIS IMAGING
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4119 S WATER TOWER PL STE A MOUNT VERNON, IL 62864
Location Phone
(618) 246-9595
Mailing Address
4119 S WATER TOWER PL STE A MOUNT VERNON, IL 62864
Mailing Phone
(618) 246-9595
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-18-2022
Last Update Date
01-11-2023
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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

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

JARED STIMPSON

Authorized Official Title
TREASURER
Authorized Official Phone
(812) 450-8287

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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 1548986839, we treat the final digit (9) 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 81. The final step is to find the difference between that total and the next multiple of ten (90 - 81 = 9).

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

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 8 + 8 + 1 + 8 + 8 + 1 + 2 + 8 + 6 + 24 = 81

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

The next multiple of ten after 81 is 90. The difference is the calculated check digit.

90 - 81 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1548986839.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner (Family)
4119 S WATER TOWER PL STE A
MOUNT VERNON, IL 62864

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548986839, enumerated as an "organization" on October 18, 2022.

The provider is located at 4119 S WATER TOWER PL STE A MOUNT VERNON, IL 62864 and the phone number is (618) 246-9595.

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