CHILDERSBURG DIAGNOSTIC IMAGING, LLC
NPI 1851476261
Physiological Laboratory in Childersburg, AL

NPI Status: Active since October 25, 2006

Contact Information

30411 HWY 280
CHILDERSBURG, AL
ZIP 35178
Phone: (256) 378-3313
Fax: (256) 378-3315

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  • Organization
  • Physiological Laboratory
  • CLIA Number: 01D0700623
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-27-2027

About CHILDERSBURG DIAGNOSTIC IMAGING, LLC

This page provides the complete NPI Profile along with additional information for Childersburg Diagnostic Imaging, Llc, a provider established in Childersburg, Alabama operating as a Physiological Laboratory. The healthcare provider is registered in the NPI registry with number 1851476261 assigned on October 2006. The practitioner's primary taxonomy code is 293D00000X with license number 11948 (AL). 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 Mike Bice (Administrator)

NPI
1851476261
Provider Name
CHILDERSBURG DIAGNOSTIC IMAGING, LLC
Entity Type
Organization
Location Address
30411 HWY 280 CHILDERSBURG, AL 35178
Location Phone
(256) 378-3313
Location Fax
(256) 378-3315
Mailing Address
P. O. BOX 349 30411 HWY 280 CHILDERSBURG, AL 35178
Mailing Phone
(256) 378-3313
Mailing Fax
(256) 378-3315
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-25-2006
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

Physiological Laboratory

Taxonomy Code
293D00000X
Type
Laboratories
License No.
11948
License State
AL
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.

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

MIKE BICE

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(256) 378-3313

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
01D0700623
Facility Type
Physician Office
Certificate Effective Date
April 28, 2025
Certificate Expiration Date
April 27, 2027
Laboratory Director
JAROD E. SPEER
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Childersburg Diagnostic Imaging, Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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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 1851476261, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
8
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
1
Unchanged
Pos 5
4
Doubled → 8
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
2
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
1
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 4 → 8 6 → 12 → 3 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 0 + 1 + 8 + 7 + 1 + 2 + 2 + 1 + 2 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1851476261.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851476261, enumerated as an "organization" on October 25, 2006.

The provider is located at 30411 HWY 280 CHILDERSBURG, AL 35178 and the phone number is (256) 378-3313.

Physiological Laboratory with taxonomy code 293D00000X.