DIAGNOSTIC PAVILION
NPI 1942424452
Clinic/Center - Magnetic Resonance Imaging (MRI) in Fort Worth, TX

NPI Status: Active since April 13, 2007

Contact Information

2001 COOPER STREET
FORT WORTH, TX
ZIP 76104
Phone: (817) 877-3054
Fax: (817) 546-0851

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  • Organization
  • Clinic/Center
  • Magnetic Resonance Imaging (MRI)

About DIAGNOSTIC PAVILION

This page provides the complete NPI Profile along with additional information for Diagnostic Pavilion, a provider established in Fort Worth, Texas operating as a Clinic/center, focusing in magnetic resonance imaging (mri) . The healthcare provider is registered in the NPI registry with number 1942424452 assigned on April 2007. The practitioner's primary taxonomy code is 261QM1200X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Diagnostic Pavilion. The authorized official of this NPI record is Alan Ira Ettinger Dpm (Cfo/president)

NPI
1942424452
Provider Legal Name
GED MEDICAL MANAGEMENT INC
Other Organization Name
DIAGNOSTIC PAVILION
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2001 COOPER STREET FORT WORTH, TX 76104
Location Phone
(817) 877-3054
Location Fax
(817) 546-0851
Mailing Address
2001 COOPER STREET FORT WORTH, TX 76104
Mailing Phone
(817) 877-3054
Mailing Fax
(817) 546-0851
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-13-2007
Last Update Date
03-05-2012
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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

Clinic/Center Magnetic Resonance Imaging (MRI)

Taxonomy Code
261QM1200X
Type
Ambulatory Health Care Facilities

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)
1261QR0200XAmbulatory Health Care Facilities

Clinic/Center
Radiology

R29901 (TX)

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.

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

ALAN IRA ETTINGER DPM

Authorized Official Title
CFO/PRESIDENT
Authorized Official Phone
(817) 877-3054

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
0533DCOTHER (01)TXBLUE CROSS PROVIDER NUMBE
R29901OTHER (01)TXSTATE LISC.#
=========OTHER (01)TXTIN NUMBER
FTX188MEDICARE ID-TYPE UNSPECIFIED (04)TXMEDICARE NUMBER

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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 1942424452, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 8 + 2 + 8 + 2 + 8 + 4 + 1 + 0 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1942424452.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942424452, enumerated as an "organization" on April 13, 2007.

The provider is located at 2001 COOPER STREET FORT WORTH, TX 76104 and the phone number is (817) 877-3054.

Clinic/Center with taxonomy code 261QM1200X and a focus in Magnetic Resonance Imaging (MRI).

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