MONTLAKE DIAGNOSTICS, PLLC
NPI 1760841258
Psychiatry & Neurology - Clinical Neurophysiology in San Antonio, TX
NPI Status: Active since February 12, 2016
Contact Information
1819 N MAIN AVE # 218
SAN ANTONIO, TX
ZIP 78212
Phone: (210) 714-5532
- Organization
- Psychiatry & Neurology
- Clinical Neurophysiology
About MONTLAKE DIAGNOSTICS, PLLC
This page provides the complete NPI Profile along with additional information for Montlake Diagnostics, Pllc, a provider established in San Antonio, Texas operating as a Psychiatry & Neurology, focusing in clinical neurophysiology . The healthcare provider is registered in the NPI registry with number 1760841258 assigned on February 2016. The practitioner's primary taxonomy code is 2084N0600X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Montlake Diagnostics, Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. William Alec Tisdall M.d. (Owner)
- NPI
- 1760841258
- Provider Name
- MONTLAKE DIAGNOSTICS, PLLC
- Entity Type
- Organization
- Location Address
- 1819 N MAIN AVE # 218 SAN ANTONIO, TX 78212
- Location Phone
- (210) 714-5532
- Mailing Address
- 1819 N MAIN AVE # 218 SAN ANTONIO, TX 78212
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-12-2016
- Last Update Date
- 11-16-2016
- 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
Psychiatry & Neurology Clinical Neurophysiology
- Taxonomy Code
- 2084N0600X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
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 | 204R00000X | Allopathic & Osteopathic Physicians | Electrodiagnostic Medicine | |
2 | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
3 | 246ZE0600X | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Other |
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.
Reviews for MONTLAKE DIAGNOSTICS, PLLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 7 | 6 | 0 | 8 | 4 | 1 | 2 | 5 | 8 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 12 | 0 | 16 | 4 | 2 | 2 | 10 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 1 + 2 + 0 + 1 + 6 + 4 + 2 + 2 + 1 + 0 + 24 = 52 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 52 = 8 | 8 |
The NPI number 1760841258 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760841258, enumerated as an "organization" on February 12, 2016.
The provider is located at 1819 N MAIN AVE # 218 SAN ANTONIO, TX 78212 and the phone number is (210) 714-5532.
Psychiatry & Neurology with taxonomy code 2084N0600X and a focus in Clinical Neurophysiology.