IDIMO MEDICAL SUPPLY
NPI 1790714566
Durable Medical Equipment & Medical Supplies in New Brighton, MN

NPI Status: Active since July 02, 2006

Contact Information

151 SILVER LAKE RD NW
SUITE 1B
NEW BRIGHTON, MN
ZIP 55112
Phone: (651) 639-1400
Fax: (651) 639-1401

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About IDIMO MEDICAL SUPPLY

This page provides the complete NPI Profile along with additional information for Idimo Medical Supply, a provider established in New Brighton, Minnesota operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1790714566 assigned on July 2006. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Stephen Idem Etuko (Director)

NPI
1790714566
Provider Name
IDIMO MEDICAL SUPPLY
Entity Type
Organization
Location Address
151 SILVER LAKE RD NW SUITE 1B NEW BRIGHTON, MN 55112
Location Phone
(651) 639-1400
Location Fax
(651) 639-1401
Mailing Address
151 SILVER LAKE RD NW SUITE 1B NEW BRIGHTON, MN 55112
Mailing Phone
(651) 639-1400
Mailing Fax
(651) 639-1401
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-02-2006
Last Update Date
08-22-2020
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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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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

MR. STEPHEN IDEM ETUKO

Authorized Official Title
DIRECTOR
Authorized Official Phone
(651) 639-1400

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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 1790714566, 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 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
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
1
Unchanged
Pos 7
4
Doubled → 8
Pos 8
5
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
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 9 → 18 → 9 7 → 14 → 5 4 → 8 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 8 + 0 + 1 + 4 + 1 + 8 + 5 + 1 + 2 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1790714566.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Home Health
151 SILVER LAKE RD NW, STE 212
NEW BRIGHTON, MN 55112

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790714566, enumerated as an "organization" on July 02, 2006.

The provider is located at 151 SILVER LAKE RD NW SUITE 1B NEW BRIGHTON, MN 55112 and the phone number is (651) 639-1400.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.