SHORES DIAGNOSTIC CENTER
NPI 1750546446
Radiology - Diagnostic Radiology in Saint Clair Shores, MI

NPI Status: Active since July 23, 2008

Contact Information

20225 E 9 MILE RD
SAINT CLAIR SHORES, MI
ZIP 48080
Phone: (586) 775-4711
Fax: (586) 775-4050

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  • Organization
  • Radiology
  • Diagnostic Radiology

About SHORES DIAGNOSTIC CENTER

This page provides the complete NPI Profile along with additional information for Shores Diagnostic Center, a provider established in Saint Clair Shores, Michigan operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1750546446 assigned on July 2008. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 15 years ago. Shores Diagnostic Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Shores Diagnostic Center. The authorized official of this NPI record is Jennifer Johnson (Director)

NPI
1750546446
Provider Legal Name
ST JOHN HOSPITAL AND MEDICAL CENTER
Other Organization Name
SHORES DIAGNOSTIC CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
20225 E 9 MILE RD SAINT CLAIR SHORES, MI 48080
Location Phone
(586) 775-4711
Location Fax
(586) 775-4050
Mailing Address
PO BOX 67000 DEPARTMENT 184101 DETROIT, MI 48267
Mailing Phone
(877) 996-9975
Mailing Fax
(586) 775-4050
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-23-2008
Last Update Date
01-27-2011
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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

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
License State
MI
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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)
12085D0003XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Neuroimaging

(MI)
22085N0700XAllopathic & Osteopathic Physicians

Radiology
Neuroradiology

(MI)
32085N0904XAllopathic & Osteopathic Physicians

Radiology
Nuclear Radiology

(MI)
42085P0229XAllopathic & Osteopathic Physicians

Radiology
Pediatric Radiology

(MI)
52085R0204XAllopathic & Osteopathic Physicians

Radiology
Vascular & Interventional Radiology

(MI)
62085U0001XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Ultrasound

(MI)
72471B0102XTechnologists, Technicians & Other Technical Service Providers

Radiologic Technologist
Bone Densitometry

(MI)
82471C3402XTechnologists, Technicians & Other Technical Service Providers

Radiologic Technologist
Radiography

(MI)
92471M2300XTechnologists, Technicians & Other Technical Service Providers

Radiologic Technologist
Mammography

(MI)
102471N0900XTechnologists, Technicians & Other Technical Service Providers

Radiologic Technologist
Nuclear Medicine Technology

(MI)
112471S1302XTechnologists, Technicians & Other Technical Service Providers

Radiologic Technologist
Sonography

(MI)
122471V0105XTechnologists, Technicians & Other Technical Service Providers

Radiologic Technologist
Vascular Sonography

(MI)

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.

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.

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

JENNIFER JOHNSON

Authorized Official Title
DIRECTOR
Authorized Official Phone
(877) 996-9975

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
310E020840OTHER (01)MIBCBSM GROUP NUMBER
0N40170MEDICARE PIN (08)MI 

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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 1750546446, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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
4
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
4
Unchanged
Pos 9
4
Doubled → 8
Check
6
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 4 → 8

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 + 4 + 1 + 2 + 4 + 8 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1750546446.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Pediatrics
20225 E 9 MILE RD, SUITE A
SAINT CLAIR SHORES, MI 48080
Pediatrics (Adolescent Medicine)
20225 E 9 MILE RD, SUITE A
SAINT CLAIR SHORES, MI 48080
Pediatrics
20225 E 9 MILE RD, SUITE A
SAINT CLAIR SHORES, MI 48080
Radiology (Diagnostic Ultrasound)
20225 E 9 MILE RD, SUITE A2
SAINT CLAIR SHORES, MI 48080
Family Medicine
20225 E 9 MILE RD, SUITE A
SAINT CLAIR SHORES, MI 48080
Family Medicine
20225 E 9 MILE RD, SUITE A
SAINT CLAIR SHORES, MI 48080
Family Medicine
20225 E 9 MILE RD, SUITE A
SAINT CLAIR SHORES, MI 48080
Family Medicine
20225 E 9 MILE RD, SUITE A
SAINT CLAIR SHORES, MI 48080
Pharmacy (Community/Retail Pharmacy)
20225 E 9 MILE RD, SUITE 100
SAINT CLAIR SHORES, MI 48080
Family Medicine
20225 E 9 MILE RD, SUITE A
SAINT CLAIR SHORES, MI 48080
Family Medicine
20225 E 9 MILE RD
SAINT CLAIR SHORES, MI 48080
Pediatrics
20225 E 9 MILE RD, SUITE A
SAINT CLAIR SHORES, MI 48080
Pediatrics
20225 E 9 MILE RD, SUITE A
SAINT CLAIR SHORES, MI 48080
Pediatrics
20225 E 9 MILE RD, SUITE A
SAINT CLAIR SHORES, MI 48080
Pediatrics
20225 E 9 MILE RD, SUITE A
SAINT CLAIR SHORES, MI 48080
Pediatrics
20225 E 9 MILE RD, SUITE A
SAINT CLAIR SHORES, MI 48080
Internal Medicine
20225 E 9 MILE RD
SAINT CLAIR SHORES, MI 48080
Nurse Practitioner (Pediatrics)
20225 E 9 MILE RD
SAINT CLAIR SHORES, MI 48080
Pediatrics
20225 E 9 MILE RD
SAINT CLAIR SHORES, MI 48080

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750546446, enumerated as an "organization" on July 23, 2008.

The provider is located at 20225 E 9 MILE RD SAINT CLAIR SHORES, MI 48080 and the phone number is (586) 775-4711.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

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