STATESBORO IMAGING CENTER
NPI 1811217920
Physiological Laboratory in Statesboro, GA
NPI Status: Active since June 11, 2010
Contact Information
8 LESTER RD
STATESBORO, GA
ZIP 30458
Phone: (912) 764-5656
Fax: (912) 764-5659
- Organization
- Physiological Laboratory
- CLIA Number: 11D2009817
- CLIA Cert. Type: Other - IDTF (IN PROCESS)
- CLIA Exp. Date: 07-14-2026
About STATESBORO IMAGING CENTER
This page provides the complete NPI Profile along with additional information for Statesboro Imaging Center, a provider established in Statesboro, Georgia operating as a Physiological Laboratory. The healthcare provider is registered in the NPI registry with number 1811217920 assigned on June 2010. The practitioner's primary taxonomy code is 293D00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's is doing business as Statesboro Imaging Center. The authorized official of this NPI record is Don R Connell M.d. (President)
- NPI
- 1811217920
- Provider Legal Name
- STATESBORO IMAGING CENTER, P.C.
- Other Organization Name
- STATESBORO IMAGING CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 8 LESTER RD STATESBORO, GA 30458
- Location Phone
- (912) 764-5656
- Location Fax
- (912) 764-5659
- Mailing Address
- 8 LESTER RD STATESBORO, GA 30458
- Mailing Phone
- (912) 764-5656
- Mailing Fax
- (912) 764-5659
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-11-2010
- Last Update Date
- 06-11-2010
- 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
Physiological Laboratory
- Taxonomy Code
- 293D00000X
- Type
- Laboratories
- License State
- GA
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D2009817
- Facility Type
- Other - IDTF (IN PROCESS)
- Certificate Effective Date
- July 15, 2024
- Certificate Expiration Date
- July 14, 2026
- Laboratory Director
- DR. ANJANA VIJAYVARGIYA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Statesboro Imaging Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1811217920, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811217920, enumerated as an "organization" on June 11, 2010.
The provider is located at 8 LESTER RD STATESBORO, GA 30458 and the phone number is (912) 764-5656.
Physiological Laboratory with taxonomy code 293D00000X.
