MEDICAL MALL IMAGING CENTER
NPI 1629306220
Radiology - Diagnostic Radiology in Hazard, KY
NPI Status: Active since November 20, 2009
Contact Information
210 BLACK GOLD BLVD
STE 109
HAZARD, KY
ZIP 41701
Phone: (606) 487-7320
- Organization
- Radiology
- Diagnostic Radiology
- CLIA Number: 18D2000821
- CLIA Cert. Type: Other - IMAGING CENTER
- CLIA Exp. Date: 12-06-2025
About MEDICAL MALL IMAGING CENTER
This page provides the complete NPI Profile along with additional information for Medical Mall Imaging Center, a provider established in Hazard, Kentucky operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1629306220 assigned on November 2009. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 17 years ago. Medical Mall Imaging Center 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 Medical Mall Imaging Center. The authorized official of this NPI record is Mr. Ashok Patel (Vice President)
- NPI
- 1629306220
- Provider Legal Name
- HAZARD ARH IMAGING CENTER LLC
- Other Organization Name
- MEDICAL MALL IMAGING CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 210 BLACK GOLD BLVD STE 109 HAZARD, KY 41701
- Location Phone
- (606) 487-7320
- Mailing Address
- 210 BLACK GOLD BLVD STE 109 HAZARD, KY 41701
- Mailing Phone
- (606) 487-7320
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-20-2009
- Last Update Date
- 12-22-2009
- Code Navigator
Location Map
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 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
- 18D2000821
- Facility Type
- Other - IMAGING CENTER
- Certificate Effective Date
- December 07, 2023
- Certificate Expiration Date
- December 06, 2025
- Laboratory Director
- KENNY HICKS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Medical Mall Imaging Center 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.
Reviews for MEDICAL MALL IMAGING CENTER
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 1629306220, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
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 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
HAZARD, KY 41701
HAZARD, KY 41701
HAZARD, KY 41701
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629306220, enumerated as an "organization" on November 20, 2009.
The provider is located at 210 BLACK GOLD BLVD STE 109 HAZARD, KY 41701 and the phone number is (606) 487-7320.
Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.
