JAN L MOURELATOS M.D.
NPI 1003895228
Radiology, Diagnostic Radiology in Grand Rapids,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 16, 2006

Contact Information

3264 N Evergreen Dr Ne
Grand Rapids,
Post Code: 49525
Phone: (616) 363-7272
Fax: (616) 361-5828

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Jan L Mourelatos M.d. in Grand Rapids - Radiology, Diagnostic Radiology

Jan L Mourelatos M.d. is a Radiology, Diagnostic Radiology in Grand Rapids, . Jan L Mourelatos M.d. practices all healthcare services and medical treatments related to Radiology, Diagnostic Radiology. The NPI Number for Jan L Mourelatos M.d. is 1003895228. The last update date is 2024-01-09.

Jan L Mourelatos M.d.'s current location address is 3264 N Evergreen Dr Ne, Grand Rapids, . You can contact this provider via phone number (616) 363-7272 and fax number (616) 361-5828. The mailing address for Jan L Mourelatos M.d. is 3264 N Evergreen Dr Ne, Grand Rapids, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1003895228
Provider Name
JAN L MOURELATOS M.D.
Gender
Female
Entity Type
Individual
Location Address
3264 N Evergreen Dr Ne, Grand Rapids,
Location Phone
(616) 363-7272
Location Fax
(616) 361-5828
Mailing Address
3264 N Evergreen Dr Ne, Grand Rapids, Michigan(MI)
Mailing Phone
616-363-7272
Mailing Fax
616-361-5828
Enumeration Date
2006-01-16
Last Update Date
2024-01-09
Code Navigator

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
-
License No.
4301052862
License State
Michigan (MI)
Taxonomy Description
-

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
$$$$$$$$$ Other (non-Medicare) (01) () WPS/Tricare for Life
$$$$$$$$$ Other (non-Medicare) (01) () Health Net Fed Services
0H26188 Other (non-Medicare) (01) Michigan (MI) BCBS PROVIDER NUMBER
0Q26008 Other (non-Medicare) (01) Michigan (MI) BCBS PROVIDER NUMBER
0Q26008040 Other (non-Medicare) (01) () Fed Black Lung Program
1006439 Other (non-Medicare) (01) Michigan (MI) McLaren Health
111785 Other (non-Medicare) (01) Michigan (MI) Great Lakes Health
3513322 MEDICAID (05) Michigan (MI)
351332210 Other (non-Medicare) (01) Michigan (MI) Procare
OH26188036 Other (non-Medicare) (01) () Fed Black Lung Program
P00222749 Other (non-Medicare) (01) () RR Medicare/Palmetto GBA

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NPI Validation Check Digit Calculation


The following table explains the step by step 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.
1003895228
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20031691024
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 20031691024
2 + 0 + 0 + 3 + 1 + 6 + 9 + 1 + 0 + 2 + 4 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 8 8

The NPI number 1003895228 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003894619 CORDELL L YODER
Individual
Internal Medicine 1701 SOUTH BLVD EAST
ROCHESTER HILLS, Michigan (MI)
248-293-1002
1003894577 WILLIAM L. KRIEG
Individual
Dentist, Orthodontics and Dentofacial Orthopedics 22006 GREATER MACK AVE
ST CLAIR SHORES, Michigan (MI)
586-772-6090
1003894049 ALAN ROBERT TOKAR
Individual
Dentist, General Practice 224 NEWBERRY AVE
NEWBERRY, Michigan (MI)
906-293-3332
1003893934 ARMEN A KORKIGIAN
Individual
Internal Medicine 2635 COOLIDGE HWY
BERKLEY, Michigan (MI)
248-541-2512
1003893330 RUSSELL DIPONIO
Individual
Internal Medicine 4444 W BRISTOL RD STE 150
FLINT, Michigan (MI)
810-230-9500