PRIME SOURCE MEDICAL SERVICES, INC
NPI 1902070964
Durable Medical Equipment & Medical Supplies in Shreveport, LA

NPI Status: Active since April 21, 2008

Contact Information

2715 MACKEY PL STE 116
SHREVEPORT, LA
ZIP 71118
Phone: (318) 687-6776
Fax: (318) 687-6996

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About PRIME SOURCE MEDICAL SERVICES, INC

This page provides the complete NPI Profile along with additional information for Prime Source Medical Services, Inc, a provider established in Shreveport, Louisiana operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1902070964 assigned on April 2008. The practitioner's primary taxonomy code is 332B00000X with license number 00213555 (LA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Mr. Jade U Irondi (President)

NPI
1902070964
Provider Name
PRIME SOURCE MEDICAL SERVICES, INC
Entity Type
Organization
Location Address
2715 MACKEY PL STE 116 SHREVEPORT, LA 71118
Location Phone
(318) 687-6776
Location Fax
(318) 687-6996
Mailing Address
2715 MACKEY PL STE 116 SHREVEPORT, LA 71118
Mailing Phone
(318) 687-6776
Mailing Fax
(318) 687-6996
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-21-2008
Last Update Date
04-21-2008
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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
License No.
00213555
License State
LA
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.

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)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 

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. JADE U IRONDI

Authorized Official Title
PRESIDENT
Authorized Official Phone
(318) 687-6776

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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 1902070964, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 0 + 2 + 0 + 7 + 0 + 9 + 1 + 2 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1902070964.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902070964, enumerated as an "organization" on April 21, 2008.

The provider is located at 2715 MACKEY PL STE 116 SHREVEPORT, LA 71118 and the phone number is (318) 687-6776.

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