SOUTH SHORE DIAGNOSTICS, INC.
NPI 1659536985
Radiologic Technologist in Valley Stream, NY

NPI Status: Active since July 25, 2008

Contact Information

300 FRANKLIN AVE
VALLEY STREAM, NY
ZIP 11580
Phone: (516) 599-8280

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Radiologic Technologist
CLIA Number: 33D2018491
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 01-06-2027

About SOUTH SHORE DIAGNOSTICS, INC.

This page provides the complete NPI Profile along with additional information for South Shore Diagnostics, Inc., a provider established in Valley Stream, New York operating as a Radiologic Technologist. The healthcare provider is registered in the NPI registry with number 1659536985 assigned on July 2008. The practitioner's primary taxonomy code is 247100000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Leslie E. Woodbine (President)

NPI: 1659536985
Provider Name: SOUTH SHORE DIAGNOSTICS, INC.
Entity Type: Organization
Location Address: 300 FRANKLIN AVE VALLEY STREAM, NY 11580
Location Phone: (516) 599-8280
Mailing Address: 300 FRANKLIN AVE VALLEY STREAM, NY 11580
Mailing Phone: (516) 599-8280
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 07-25-2008
Last Update Date: 07-25-2008
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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: Radiologic Technologist
Taxonomy Code: 247100000X
Type: Technologists, Technicians & Other Technical Service Providers
Taxonomy Description: A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.

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: MR. LESLIE E. WOODBINE
Authorized Official Title: PRESIDENT
Authorized Official Phone: (516) 599-8280

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: 33D2018491
Facility Type: Physician Office
Certificate Effective Date: January 07, 2025
Certificate Expiration Date: January 06, 2027
Laboratory Director: DR. ALLAN S. DETWEILER
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to South Shore Diagnostics, Inc. 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.

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 1659536985, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 10 → 1 + 0

Pos 4

Unchanged

Pos 5

Doubled → 10 → 1 + 0

Pos 6

Unchanged

Pos 7

Doubled → 12 → 1 + 2

Pos 8

Unchanged

Pos 9

Doubled → 16 → 1 + 6

Check

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 5 → 10 → 1 5 → 10 → 1 6 → 12 → 3 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 0 + 9 + 1 + 0 + 3 + 1 + 2 + 9 + 1 + 6 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5

This NPI is valid

The calculated check digit is 5, which matches the last digit of 1659536985.