ONE SOURCE DIAGNOSTIC IMAGING
NPI 1912017401
Specialist in Cleburne, TX

NPI Status: Active since August 30, 2006

Contact Information

505 N RIDGEWAY DR
STE 252
CLEBURNE, TX
ZIP 76033
Phone: (817) 517-5665
Fax: (817) 556-3999

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  • Organization
  • Specialist

About ONE SOURCE DIAGNOSTIC IMAGING

This page provides the complete NPI Profile along with additional information for One Source Diagnostic Imaging, a provider established in Cleburne, Texas operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1912017401 assigned on August 2006. The practitioner's primary taxonomy code is 174400000X with license number R26791 (TX). The provider is registered as an organization and their NPI record was last updated 17 years ago. One Source Diagnostic Imaging operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as One Source Diagnostic Imaging. The authorized official of this NPI record is Mary E Kiser (Director Of Operations)

NPI
1912017401
Provider Legal Name
SMR DIAGNOSTICS LTD
Other Organization Name
ONE SOURCE DIAGNOSTIC IMAGING
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
505 N RIDGEWAY DR STE 252 CLEBURNE, TX 76033
Location Phone
(817) 517-5665
Location Fax
(817) 556-3999
Mailing Address
505 N RIDGEWAY DR STE 252 CLEBURNE, TX 76033
Mailing Phone
(817) 517-5665
Mailing Fax
(817) 556-3999
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-30-2006
Last Update Date
12-18-2009
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
R26791
License State
TX
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MARY E KISER

Authorized Official Title
DIRECTOR OF OPERATIONS
Authorized Official Phone
(817) 517-5665

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
R26791OTHER (01)TXSTATE LICENSE
FTA052MEDICARE ID-TYPE UNSPECIFIED (04)TXGROUP MEDICARE PROVIDER
FTA052MEDICARE PIN (08)TX 
150682601MEDICAID (05)TX 

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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 1912017401, 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 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
9
Unchanged
Pos 3
1
Doubled → 2
Pos 4
2
Unchanged
Pos 5
0
Doubled → 0
Pos 6
1
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
0
Doubled → 0
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 1 → 2 0 → 0 7 → 14 → 5 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 2 + 2 + 0 + 1 + 1 + 4 + 4 + 0 + 24 = 49

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

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1912017401.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Family Medicine
505 N RIDGEWAY DR, SUITE 160
CLEBURNE, TX 76033
Internal Medicine
505 N RIDGEWAY DR, SUITE 282
CLEBURNE, TX 76033
Nurse Practitioner (Family)
505 N RIDGEWAY DR
CLEBURNE, TX 76033
Legal Medicine
505 N RIDGEWAY DR, SUITE 160
CLEBURNE, TX 76033
Clinic/Center (Primary Care)
505 N RIDGEWAY DR, SUITE 160
CLEBURNE, TX 76033
Internal Medicine
505 N RIDGEWAY DR, SUITE 283
CLEBURNE, TX 76033

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912017401, enumerated as an "organization" on August 30, 2006.

The provider is located at 505 N RIDGEWAY DR STE 252 CLEBURNE, TX 76033 and the phone number is (817) 517-5665.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.