PIONEER MEDICAL PORTABLE XRAY,LLC
NPI 1619204203
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Petal, MS

NPI Status: Active since November 03, 2009

Contact Information

100 CLARENDON AVE
PETAL, MS
ZIP 39465
Phone: (601) 550-4611
Fax: (601) 510-9449

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  • Organization
  • Portable X-ray and/or Other Portable Dia...

About PIONEER MEDICAL PORTABLE XRAY,LLC

This page provides the complete NPI Profile along with additional information for Pioneer Medical Portable Xray,llc, a provider established in Petal, Mississippi operating as a Portable X-ray And/or Other Portable Diagnostic Imaging Supplier. The healthcare provider is registered in the NPI registry with number 1619204203 assigned on November 2009. The practitioner's primary taxonomy code is 335V00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Ted H Crabtree Jr. Rt (Owner)

NPI
1619204203
Provider Name
PIONEER MEDICAL PORTABLE XRAY,LLC
Entity Type
Organization
Location Address
100 CLARENDON AVE PETAL, MS 39465
Location Phone
(601) 550-4611
Location Fax
(601) 510-9449
Mailing Address
100 CLARENDON AVE PETAL, MS 39465
Mailing Phone
(601) 550-4611
Mailing Fax
(601) 510-9449
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-03-2009
Last Update Date
11-10-2009
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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

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

Taxonomy Code
335V00000X
Type
Suppliers
Taxonomy Description
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.

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

TED H CRABTREE JR. RT

Authorized Official Title
OWNER
Authorized Official Phone
(601) 550-4611

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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 1619204203, 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 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
6
Unchanged
Pos 3
1
Doubled → 2
Pos 4
9
Unchanged
Pos 5
2
Doubled → 4
Pos 6
0
Unchanged
Pos 7
4
Doubled → 8
Pos 8
2
Unchanged
Pos 9
0
Doubled → 0
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 1 → 2 2 → 4 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 + 6 + 2 + 9 + 4 + 0 + 8 + 2 + 0 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1619204203.

Other Providers at the Same Location


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

Clinic/Center (Radiology, Mobile)
100 CLARENDON AVE
PETAL, MS 39465

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619204203, enumerated as an "organization" on November 03, 2009.

The provider is located at 100 CLARENDON AVE PETAL, MS 39465 and the phone number is (601) 550-4611.

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier with taxonomy code 335V00000X.