SOUTHERN OPEN IMAGING CENTER
NPI 1194795658
Radiologic Technologist, Computed Tomography in Lake City,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 25, 2006

Contact Information

289 Sw Stonegate Ter
Lake City,
Post Code: 32024
Phone: (386) 755-4788
Fax: (386) 755-9980

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Southern Open Imaging Center in Lake City - Radiologic Technologist, Computed Tomography

Southern Open Imaging Center is a Radiologic Technologist, Computed Tomography in Lake City, . Southern Open Imaging Center practices all healthcare services and medical treatments related to Radiologic Technologist, Computed Tomography. The NPI Number for Southern Open Imaging Center is 1194795658. The last update date is 2008-02-19.

Southern Open Imaging Center's current location address is 289 Sw Stonegate Ter, Lake City, . You can contact this provider via phone number (386) 755-4788 and fax number (386) 755-9980. The mailing address for Southern Open Imaging Center is 289 Sw Stonegate Ter, Lake City, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1194795658
Provider Legal Name
SOUTHERN OPEN MRI INC
Other Organization Name
SOUTHERN OPEN IMAGING CENTER
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
289 Sw Stonegate Ter, Lake City,
Location Phone
(386) 755-4788
Location Fax
(386) 755-9980
Mailing Address
289 Sw Stonegate Ter, Lake City, Florida(FL)
Mailing Phone
386-755-4788
Mailing Fax
386-755-9980
Enumeration Date
2006-01-25
Last Update Date
2008-02-19
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

Radiologic Technologist, Magnetic Resonance Imaging

Taxonomy Code
2471M1202X
Type
-
License No.
-
License State
-
Taxonomy Description
-

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)
1 2471C3401X Computed Tomography Radiologic Technologist

Radiologic Technologist, Computed Tomography

()
2 2471S1302X Sonography Radiologic Technologist

Radiologic Technologist, Sonography

()

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
1736853 Other (non-Medicare) (01) Florida (FL) First Health provider num
271288 Other (non-Medicare) (01) Florida (FL) AvMed Provider Number
470000465 Other (non-Medicare) (01) Florida (FL) Rail Road Medicare
5259706 Other (non-Medicare) (01) Florida (FL) Aetna Provider Number
B796 Other (non-Medicare) (01) Florida (FL) Vista Health Plan
V2546 Other (non-Medicare) (01) Florida (FL) Blue Cross Blue Shield

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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.
1194795658
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2118414910610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2118414910610
2 + 1 + 1 + 8 + 4 + 1 + 4 + 9 + 1 + 0 + 6 + 1 + 0 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 8 8

The NPI number 1194795658 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
1114920261 RICHARD RANDALL THACKER
Individual
Internal Medicine 2770 CAPITAL MEDICAL BLVD
TALLAHASSEE, Florida (FL)
850-878-8235
1194728147 BADER PROSTHETICS & ORTHOTICS, INC
Organization
Prosthetic/Orthotic Supplier 125 CHAPMAN RD E
LUTZ, Florida (FL)
813-962-6100
1194728121 DAVID W BADOLATO
Individual
Family Medicine 6300 N. WICKHAM RD
MELBOURNE, Florida (FL)
321-433-1534
1003819038 LESTER GOLDBERG
Individual
Radiology, Diagnostic Radiology 3501 JOHNSON ST
HOLLYWOOD, Florida (FL)
954-987-2000
1154324176 RICK ALLEN DAMRON
Individual
Internal Medicine 2770 CAPITAL MEDICAL BLVD STE 200
TALLAHASSEE, Florida (FL)
850-878-8235