ULTRA HYDRO VASCULAR SYSTEMS LLC NPI 1912142084

Physiological Laboratory in Waco, TX

NPI 1912142084 Organization Physiological Laboratory

NPI Profile for ULTRA HYDRO VASCULAR SYSTEMS LLC

Ultra Hydro Vascular Systems Llc is a provider established in Waco, Texas specializing in physiological laboratory. The NPI number of Ultra Hydro Vascular Systems Llc is 1912142084 and was assigned on December 2008. The practitioner's primary taxonomy code is 293D00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Dr. Robert Dean Allison Ph.d., Fsvm (President & Ceo)

NPI

1912142084

Provider NameULTRA HYDRO VASCULAR SYSTEMS LLC
Provider Location Address5010 LAKELAND CIRCLE SUITE B WACO, TX 76710
Provider Mailing Address875 AUSTIN HINES DR CHINA SPRING, TX 76633
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date12-03-2008
Last Update Date12-03-2008


Primary Taxonomy

Taxonomy Code293D00000X
ClassificationPhysiological Laboratory
TypeLaboratories
Taxonomy DescriptionA 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.

Business Address

ULTRA HYDRO VASCULAR SYSTEMS LLC
5010 LAKELAND CIRCLE
SUITE B
WACO, TX
ZIP 76710
Phone: (254) 230-8296
Fax: (254) 754-4494

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Mailing Address

ULTRA HYDRO VASCULAR SYSTEMS LLC
875 AUSTIN HINES DR
CHINA SPRING, TX
ZIP 76633
Phone: (254) 230-8296
Fax: (254) 754-4494



Authorized Official

Authorized Official NameDR. ROBERT DEAN ALLISON PH.D., FSVM
Authorized Official TitlePRESIDENT & CEO
Authorized Official Phone(254) 230-8296

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care FacilityNo

Taxonomy Description: an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

NPI Validation Check Digit Calculation


The following table explains step by step the 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.
1912142084
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2922244016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 2 + 2 + 2 + 4 + 4 + 0 + 1 + 6 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1912142084 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1982893665 MELANIE B ILLICH MD
Individual
Psychiatry & Neurology (Psychiatry)5010 LAKELAND CIRCLE SUITE B
WACO, TX 76710
(254) 776-3486

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
Ultra Hydro Vascular Systems Llc 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.