GREAT LAKES PORTABLE DIAGNOSTICS
NPI 1750536454
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Warren, MI

NPI Status: Active since November 21, 2008

Contact Information

28800 RYAN RD
SUITE 300
WARREN, MI
ZIP 48092
Phone: (586) 573-6400
Fax: (586) 573-1918

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About GREAT LAKES PORTABLE DIAGNOSTICS

This page provides the complete NPI Profile along with additional information for Great Lakes Portable Diagnostics, a provider established in Warren, Michigan operating as a Portable X-ray And/or Other Portable Diagnostic Imaging Supplier. The healthcare provider is registered in the NPI registry with number 1750536454 assigned on November 2008. The practitioner's primary taxonomy code is 335V00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Great Lakes Portable Diagnostics. The authorized official of this NPI record is Paul Petre Md (President)

NPI
1750536454
Provider Legal Name
PAUL PETRE MD PC
Other Organization Name
GREAT LAKES PORTABLE DIAGNOSTICS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
28800 RYAN RD SUITE 300 WARREN, MI 48092
Location Phone
(586) 573-6400
Location Fax
(586) 573-1918
Mailing Address
30781 STEPHENSON HWY MADISON HTS, MI 48071
Mailing Phone
(248) 284-2316
Mailing Fax
(586) 573-1918
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-21-2008
Last Update Date
11-21-2008
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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

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

Taxonomy Code
335V00000X
Type
Suppliers
Taxonomy Description
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.

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

PAUL PETRE MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(586) 573-6400

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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 1750536454, 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 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 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
5
Doubled → 10 → 1 + 0
Pos 4
0
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 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 5 → 10 → 1 5 → 10 → 1 6 → 12 → 3 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 0 + 0 + 1 + 0 + 3 + 1 + 2 + 4 + 1 + 0 + 24 = 46

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

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1750536454.

Other Providers at the Same Location


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

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Durable Medical Equipment & Medical Supplies
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Specialist
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Internal Medicine
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Orthopaedic Surgery (Sports Medicine)
28800 RYAN RD, SUITE 220
WARREN, MI 48092
Dermatology
28800 RYAN RD, SUITE 320
WARREN, MI 48092
Family Medicine (Sports Medicine)
28800 RYAN RD, SUITE 120
WARREN, MI 48092
Home Health
28800 RYAN RD, SUITE 325
WARREN, MI 48092
Physician Assistant (Medical)
28800 RYAN RD
WARREN, MI 48092
Family Medicine
28800 RYAN RD
WARREN, MI 48092
Durable Medical Equipment & Medical Supplies
28800 RYAN RD, SUITE 200
WARREN, MI 48092
Social Worker
28800 RYAN RD, SUITE 320
WARREN, MI 48092
Psychologist
28800 RYAN RD, SUITE 320
WARREN, MI 48092
Nurse Practitioner (Gerontology)
28800 RYAN RD, SUITE 320
WARREN, MI 48092
Psychiatry & Neurology (Psychiatry)
28800 RYAN RD, SUITE 320
WARREN, MI 48092
Specialist
28800 RYAN RD
WARREN, MI 48092
Psychologist (Adult Development & Aging)
28800 RYAN RD, SUITE 320
WARREN, MI 48092
Nurse Practitioner (Adult Health)
28800 RYAN RD, SUITE 320
WARREN, MI 48092
Psychiatry & Neurology (Psychiatry)
28800 RYAN RD, SUITE 300
WARREN, MI 48092

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750536454, enumerated as an "organization" on November 21, 2008.

The provider is located at 28800 RYAN RD SUITE 300 WARREN, MI 48092 and the phone number is (586) 573-6400.

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier with taxonomy code 335V00000X.