PEMBROKE WEST DIAGNOSTIC IMAGING INC
NPI 1689706863
Clinic/Center - Radiology in Hollywood, FL
NPI Status: Active since March 12, 2007
Contact Information
11011 SHERIDAN ST
SUITE 101
HOLLYWOOD, FL
ZIP 33026
Phone: (954) 443-8010
Fax: (305) 412-8265
- Organization
- Clinic/Center
- Radiology
- CLIA Number: 10D0683924
- CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
- CLIA Exp. Date: 08-31-2026
About PEMBROKE WEST DIAGNOSTIC IMAGING INC
This page provides the complete NPI Profile along with additional information for Pembroke West Diagnostic Imaging Inc, a provider established in Hollywood, Florida operating as a Clinic/center, focusing in radiology . The healthcare provider is registered in the NPI registry with number 1689706863 assigned on March 2007. The practitioner's primary taxonomy code is 261QR0200X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Mr. Stephen E Cianciulli (President)
- NPI
- 1689706863
- Provider Name
- PEMBROKE WEST DIAGNOSTIC IMAGING INC
- Entity Type
- Organization
- Location Address
- 11011 SHERIDAN ST SUITE 101 HOLLYWOOD, FL 33026
- Location Phone
- (954) 443-8010
- Location Fax
- (305) 412-8265
- Mailing Address
- 11011 SHERIDAN ST SUITE 101 HOLLYWOOD, FL 33026
- Mailing Phone
- (954) 443-8010
- Mailing Fax
- (305) 412-8265
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-12-2007
- Last Update Date
- 05-13-2008
- 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
Clinic/Center Radiology
- Taxonomy Code
- 261QR0200X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM1200X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center |
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
- 10D0683924
- Facility Type
- End Stage Renal Disease Dialysis Facility
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- STEVEN ZEIG
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pembroke West Diagnostic Imaging 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.
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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 1689706863, 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.
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 67 is 70. 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.
COOPER CITY, FL 33026
HOLLYWOOD, FL 33026
HOLLYWOOD, FL 33026
HOLLYWOOD, FL 33026
HOLLYWOOD, FL 33026
HOLLYWOOD, FL 33026
HOLLYWOOD, FL 33026
HOLLYWOOD, FL 33026
COOPER CITY, FL 33026
COOPER CITY, FL 33026
COOPER CITY, FL 33026
HOLLYWOOD, FL 33026
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689706863, enumerated as an "organization" on March 12, 2007.
The provider is located at 11011 SHERIDAN ST SUITE 101 HOLLYWOOD, FL 33026 and the phone number is (954) 443-8010.
Clinic/Center with taxonomy code 261QR0200X and a focus in Radiology.
