PROVENA HEALTH CENTER FOR DIAGNOSTIC IMAGING
NPI 1649383910
Radiology - Diagnostic Radiology in Geneva, IL

NPI Status: Active since August 17, 2006

Contact Information

1416C SOUTH RANDALL ROAD
GENEVA, IL
ZIP 60134
Phone: (630) 208-9325
Fax: (630) 208-9326

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  • Organization
  • Radiology
  • Diagnostic Radiology

About PROVENA HEALTH CENTER FOR DIAGNOSTIC IMAGING

This page provides the complete NPI Profile along with additional information for Provena Health Center For Diagnostic Imaging, a provider established in Geneva, Illinois operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1649383910 assigned on August 2006. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Provena Health Center For Diagnostic Imaging. The authorized official of this NPI record is Edward Molare (President)

NPI
1649383910
Provider Legal Name
PROVENA IMAGING SERVICES INC
Other Organization Name
PROVENA HEALTH CENTER FOR DIAGNOSTIC IMAGING
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1416C SOUTH RANDALL ROAD GENEVA, IL 60134
Location Phone
(630) 208-9325
Location Fax
(630) 208-9326
Mailing Address
5775 WAYZATA BOULEVARD SUITE 400 ST LOUIS PARK, MN 55416
Mailing Phone
(952) 542-8553
Mailing Fax
(630) 208-9326
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-17-2006
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

EDWARD MOLARE

Authorized Official Title
PRESIDENT
Authorized Official Phone
(952) 525-6338

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1649383910
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
268968692
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 8 + 9 + 6 + 8 + 6 + 9 + 2 + 24 = 80
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1649383910 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

KENNETH P SULLIVAN MD

Radiology

(Neuroradiology)

1416C SOUTH RANDALL ROAD
RANDALL SQUARE SHOPPING CENTER
GENEVA, IL
ZIP 60134

(630) 208-9325

RANDALLWOOD RADIOLOGY ASSOCIATES, S. C.

Radiology

(Diagnostic Radiology)

1416C SOUTH RANDALL ROAD
RANDALL SQUARE SHOPPING CENTER
GENEVA, IL
ZIP 60134

(630) 208-9325

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649383910, enumerated as an "organization" on August 17, 2006.

The provider is located at 1416C SOUTH RANDALL ROAD GENEVA, IL 60134 and the phone number is (630) 208-9325.

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