MCPC-19, LLC
NPI 1720880404
Physiological Laboratory in Pinehurst, NC

NPI Status: Active since March 25, 2025

Contact Information

30 MEMORIAL DR
PINEHURST, NC
ZIP 28374
Phone: (919) 897-2265

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  • Organization
  • Physiological Laboratory

About MCPC-19, LLC

This page provides the complete NPI Profile along with additional information for Mcpc-19, Llc, a provider established in Pinehurst, North Carolina operating as a Physiological Laboratory. The healthcare provider is registered in the NPI registry with number 1720880404 assigned on March 2025. The practitioner's primary taxonomy code is 293D00000X. The provider is registered as an organization and their NPI record was last updated April 2026. Mcpc-19, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mickey Wheless Foster (Ceo)

NPI
1720880404
Provider Name
MCPC-19, LLC
Entity Type
Organization
Location Address
30 MEMORIAL DR PINEHURST, NC 28374
Location Phone
(919) 897-2265
Mailing Address
30 MEMORIAL DR PINEHURST, NC 28374
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-25-2025
Last Update Date
04-14-2026
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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.

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)
12085R0202XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Radiology

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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

MICKEY WHELESS FOSTER

Authorized Official Title
CEO
Authorized Official Phone
(910) 715-4473

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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 1720880404, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
7
Unchanged
Pos 3
2
Doubled → 4
Pos 4
0
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
4
Unchanged
Pos 9
0
Doubled → 0
Check
4
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 2 → 4 8 → 16 → 7 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 4 + 0 + 1 + 6 + 8 + 0 + 4 + 0 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1720880404.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
30 MEMORIAL DR
PINEHURST, NC 28374
Radiology (Diagnostic Radiology)
30 MEMORIAL DR
PINEHURST, NC 28374
Specialist
30 MEMORIAL DR
PINEHURST, NC 28374
Radiology (Diagnostic Radiology)
30 MEMORIAL DR
PINEHURST, NC 28374
Radiology (Diagnostic Radiology)
30 MEMORIAL DR
PINEHURST, NC 28374
Radiology (Diagnostic Radiology)
30 MEMORIAL DR
PINEHURST, NC 28374
Radiology (Diagnostic Radiology)
30 MEMORIAL DR
PINEHURST, NC 28374
Radiology (Diagnostic Radiology)
30 MEMORIAL DR
PINEHURST, NC 28374
Radiology (Diagnostic Radiology)
30 MEMORIAL DR
PINEHURST, NC 28374
Physician Assistant
30 MEMORIAL DR
PINEHURST, NC 28374
Radiology (Vascular & Interventional Radiology)
30 MEMORIAL DR
PINEHURST, NC 28374
Radiology (Vascular & Interventional Radiology)
30 MEMORIAL DR
PINEHURST, NC 28374
Radiology (Diagnostic Radiology)
30 MEMORIAL DR
PINEHURST, NC 28374
Radiology (Diagnostic Radiology)
30 MEMORIAL DR
PINEHURST, NC 28374
Radiology (Diagnostic Radiology)
30 MEMORIAL DR
PINEHURST, NC 28374
Physician Assistant (Medical)
30 MEMORIAL DR, SUITE 3950
PINEHURST, NC 28374
Radiology (Vascular & Interventional Radiology)
30 MEMORIAL DR
PINEHURST, NC 28374
Radiology (Vascular & Interventional Radiology)
30 MEMORIAL DR
PINEHURST, NC 28374
Radiology (Vascular & Interventional Radiology)
30 MEMORIAL DR
PINEHURST, NC 28374
Specialist
30 MEMORIAL DR
PINEHURST, NC 28374

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720880404, enumerated as an "organization" on March 25, 2025.

The provider is located at 30 MEMORIAL DR PINEHURST, NC 28374 and the phone number is (919) 897-2265.

Physiological Laboratory with taxonomy code 293D00000X.