RIVERSIDE MEDICAL IMAGING, L.L.C.
NPI 1699737478
Physiological Laboratory in Riverside, CA

NPI Status: Active since April 05, 2006

Contact Information

10111 HOLE AVE
RIVERSIDE, CA
ZIP 92503
Phone: (951) 352-0555
Fax: (951) 352-9780

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  • Organization
  • Physiological Laboratory
  • CLIA Number: 05D2293842
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-14-2025

About RIVERSIDE MEDICAL IMAGING, L.L.C.

This page provides the complete NPI Profile along with additional information for Riverside Medical Imaging, L.l.c., a provider established in Riverside, California operating as a Physiological Laboratory. The healthcare provider is registered in the NPI registry with number 1699737478 assigned on April 2006. The practitioner's primary taxonomy code is 293D00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Lisa Brockett (Ceo)

NPI
1699737478
Provider Name
RIVERSIDE MEDICAL IMAGING, L.L.C.
Entity Type
Organization
Location Address
10111 HOLE AVE RIVERSIDE, CA 92503
Location Phone
(951) 352-0555
Location Fax
(951) 352-9780
Mailing Address
10111 HOLE AVE RIVERSIDE, CA 92503
Mailing Phone
(951) 352-0555
Mailing Fax
(951) 352-9780
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-05-2006
Last Update Date
05-24-2011
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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

Physiological Laboratory

Taxonomy Code
293D00000X
Type
Laboratories
Taxonomy Description
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

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

LISA BROCKETT

Authorized Official Title
CEO
Authorized Official Phone
(949) 250-4500

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
05D2293842
Facility Type
Physician Office
Certificate Effective Date
November 15, 2023
Certificate Expiration Date
November 14, 2025
Laboratory Director
BRIAN J. BEARIE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Riverside Medical Imaging, L.l.c. 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 1699737478, we treat the final digit (8) 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

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
9
Doubled → 18 → 1 + 8
Pos 4
9
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
3
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
8
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 9 → 18 → 9 7 → 14 → 5 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 8 + 9 + 1 + 4 + 3 + 1 + 4 + 4 + 1 + 4 + 24 = 72

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

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1699737478.

Other Providers at the Same Location


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

Radiology (Diagnostic Radiology)
10111 HOLE AVE
RIVERSIDE, CA 92503
Radiology (Diagnostic Radiology)
10111 HOLE AVE
RIVERSIDE, CA 92503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699737478, enumerated as an "organization" on April 05, 2006.

The provider is located at 10111 HOLE AVE RIVERSIDE, CA 92503 and the phone number is (951) 352-0555.

Physiological Laboratory with taxonomy code 293D00000X.