LIBERTY DIAGNOSTIC SERVICES
NPI 1669742623
Radiologic Technologist - Sonography in Mchenry, IL

NPI Status: Active since January 09, 2012

Contact Information

518 S HIGHWAY 31
MCHENRY, IL
ZIP 60050
Phone: (815) 338-2411

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  • Organization
  • Radiologic Technologist
  • Sonography

About LIBERTY DIAGNOSTIC SERVICES

This page provides the complete NPI Profile along with additional information for Liberty Diagnostic Services, a provider established in Mchenry, Illinois operating as a Radiologic Technologist, focusing in sonography . The healthcare provider is registered in the NPI registry with number 1669742623 assigned on January 2012. The practitioner's primary taxonomy code is 2471S1302X. The provider is registered as an organization and their NPI record was last updated 14 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. Gary Lee Collett Rdms (Ceo)

NPI
1669742623
Provider Name
LIBERTY DIAGNOSTIC SERVICES
Entity Type
Organization
Location Address
518 S HIGHWAY 31 MCHENRY, IL 60050
Location Phone
(815) 338-2411
Mailing Address
518 S HIGHWAY 31 MCHENRY, IL 60050
Mailing Phone
(815) 338-2411
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-09-2012
Last Update Date
01-09-2012
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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 Sonography

Taxonomy Code
2471S1302X
Type
Technologists, Technicians & Other Technical Service Providers
Taxonomy Description
A radiologic technologist who specializes in sonography and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of ultrasounds, exam techniques, equipment protocols, radiation safety, and patient care.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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. GARY LEE COLLETT RDMS

Authorized Official Title
CEO
Authorized Official Phone
(815) 338-2411

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
561510MEDICARE PIN (08)IL 
6019701MEDICAID (05)IL 

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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 1669742623, 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 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
6
Doubled → 12 → 1 + 2
Pos 4
9
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
2
Doubled → 4
Pos 8
6
Unchanged
Pos 9
2
Doubled → 4
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 6 → 12 → 3 7 → 14 → 5 2 → 4 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 2 + 9 + 1 + 4 + 4 + 4 + 6 + 4 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1669742623.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669742623, enumerated as an "organization" on January 09, 2012.

The provider is located at 518 S HIGHWAY 31 MCHENRY, IL 60050 and the phone number is (815) 338-2411.

Radiologic Technologist with taxonomy code 2471S1302X and a focus in Sonography.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.