VASCULAR LABORATORY OF SANTA ROSA, INC. NPI 1821202003
Radiologic Technologist - Vascular Sonography in Santa Rosa, CA

Organization Radiologic Technologist Vascular Sonography

About VASCULAR LABORATORY OF SANTA ROSA, INC.

Vascular Laboratory Of Santa Rosa, Inc. is a provider established in Santa Rosa, California specializing in Radiologic Technologist with a focus in vascular sonography . The NPI number of Vascular Laboratory Of Santa Rosa, Inc. is 1821202003 and was assigned on May 2007. The practitioner's primary taxonomy code is 2471V0105X with license number C1090923 (CA). The provider is registered as an organization and their NPI record was last updated 2 years ago. Vascular Laboratory Of Santa Rosa, Inc. operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. Robert Richardson M.d. (Managing Director)

NPI
1821202003
Provider NameVASCULAR LABORATORY OF SANTA ROSA, INC.
Provider Location Address1111 SONOMA AVE STE 322 SANTA ROSA, CA 95405
Provider Mailing Address1111 SONOMA AVE STE 322 SANTA ROSA, CA 95405
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-09-2007
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code2471V0105X
ClassificationRadiologic Technologist
TypeTechnologists, Technicians & Other Technical Service Providers
SpecializationVascular Sonography
License No.C1090923
License StateCA
Taxonomy DescriptionDefinition to come.

Business Address

VASCULAR LABORATORY OF SANTA ROSA, INC.
1111 SONOMA AVE STE 322
SANTA ROSA, CA
ZIP 95405
Phone: (707) 576-1522
Fax: (707) 576-1523

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Mailing Address

VASCULAR LABORATORY OF SANTA ROSA, INC.
1111 SONOMA AVE STE 322
SANTA ROSA, CA
ZIP 95405
Phone: (707) 576-1522
Fax: (707) 576-1523


Authorized Official

Authorized Official NameMR. ROBERT RICHARDSON M.D.
Authorized Official TitleMANAGING DIRECTOR
Authorized Official Phone(707) 545-2436

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
GR0006300MEDICAID (05)CA

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.
1821202003
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
284140400
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 4 + 1 + 4 + 0 + 4 + 0 + 0 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1821202003 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Vascular Laboratory Of Santa Rosa, Inc. is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.