BOONSLICK MEDICAL GROUP INC
NPI 1972666162
Radiology - Diagnostic Radiology in Saint Charles, MO
NPI Status: Active since December 18, 2006
Contact Information
1301 BOONES LICK RD
SAINT CHARLES, MO
ZIP 63301
Phone: (636) 916-8228
Fax: (636) 946-5774
- Organization
- Radiology
- Diagnostic Radiology
- CLIA Number: 26D0440988
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-21-2025
About BOONSLICK MEDICAL GROUP INC
This page provides the complete NPI Profile along with additional information for Boonslick Medical Group Inc, a provider established in Saint Charles, Missouri operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1972666162 assigned on December 2006. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Boonslick Medical Group Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Robert B Cusworth Md (President, Boonslick Med. Group Inc)
- NPI
- 1972666162
- Provider Name
- BOONSLICK MEDICAL GROUP INC
- Entity Type
- Organization
- Location Address
- 1301 BOONES LICK RD SAINT CHARLES, MO 63301
- Location Phone
- (636) 916-8228
- Location Fax
- (636) 946-5774
- Mailing Address
- 1301 BOONES LICK RD SAINT CHARLES, MO 63301
- Mailing Phone
- (636) 916-8228
- Mailing Fax
- (636) 946-5774
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-18-2006
- Last Update Date
- 07-21-2022
- Code Navigator
Location Map
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
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License State
- MO
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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.
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
- 26D0440988
- Facility Type
- Physician Office
- Certificate Effective Date
- December 22, 2023
- Certificate Expiration Date
- December 21, 2025
- Laboratory Director
- ALEXANDER E. SCHUETZ
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Boonslick Medical Group Inc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate 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 1972666162, 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972666162, enumerated as an "organization" on December 18, 2006.
The provider is located at 1301 BOONES LICK RD SAINT CHARLES, MO 63301 and the phone number is (636) 916-8228.
Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.
