GOSHEN PHYSICIANS DIAGNOSTICS
NPI 1588190284
Clinic/Center - Radiology in Goshen, IN
NPI Status: Active since May 02, 2017
Contact Information
1824 DORCHESTER CT
GOSHEN, IN
ZIP 46526
Phone: (574) 534-2548
Fax: (574) 534-3622
- Organization
- Clinic/Center
- Radiology
- CLIA Number: 15D0988792
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-05-2026
About GOSHEN PHYSICIANS DIAGNOSTICS
This page provides the complete NPI Profile along with additional information for Goshen Physicians Diagnostics, a provider established in Goshen, Indiana operating as a Clinic/center, focusing in radiology . The healthcare provider is registered in the NPI registry with number 1588190284 assigned on May 2017. The practitioner's primary taxonomy code is 261QR0200X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Goshen Physicians Diagnostics operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Goshen Physicians Diagnostics. The authorized official of this NPI record is Richard Tarske (Vice President)
- NPI
- 1588190284
- Provider Legal Name
- GOSHEN HEALTH SYSTEM INC
- Other Organization Name
- GOSHEN PHYSICIANS DIAGNOSTICS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1824 DORCHESTER CT GOSHEN, IN 46526
- Location Phone
- (574) 534-2548
- Location Fax
- (574) 534-3622
- Mailing Address
- 2004 ELKHART ROAD STE A GOSHEN, IN 46526
- Mailing Phone
- (574) 364-2611
- Mailing Fax
- (574) 534-3622
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-02-2017
- Last Update Date
- 05-07-2019
- Code Navigator
Location Map
Secondary Locations
- 1033 N Indiana Ave
Syracuse, IN 46567
(574) 457-5701 - 450 E Country Ln
Shipshewana, IN 46565
(260) 768-4141 - 1122 Professional Dr
Goshen, IN 46526
(574) 533-0560 - 2824 Elkhart Rd
Goshen, IN 46526
(574) 535-1700 - 1953 Waterfall Dr Ste A
Nappanee, IN 46550
(574) 773-4101 - 2832 Elkhart Rd
Goshen, IN 46526
(574) 537-0219
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
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) |
|---|---|---|---|---|
| 1 | 207RM1200X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | |
| 3 | 2085U0001X | Allopathic & Osteopathic Physicians | Radiology | |
| 4 | 2471M1202X | Technologists, Technicians & Other Technical Service Providers | Radiologic Technologist | |
| 5 | 261QM1200X | Ambulatory Health Care Facilities | Clinic/Center |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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
- 15D0988792
- Facility Type
- Physician Office
- Certificate Effective Date
- October 06, 2024
- Certificate Expiration Date
- October 05, 2026
- Laboratory Director
- DR. ELLEN E. CUDDEBACK
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Goshen Physicians Diagnostics in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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 1588190284, 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588190284, enumerated as an "organization" on May 02, 2017.
The provider is located at 1824 DORCHESTER CT GOSHEN, IN 46526 and the phone number is (574) 534-2548.
Clinic/Center with taxonomy code 261QR0200X and a focus in Radiology.
