INNOVATIVE DIAGNOSTIC MEDICAL GROUP
INNOVATIVE DIAGNOSTIC MEDICAL GROUP is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1013131796, based in Los Angeles, CA. The organization lists 2 taxonomy classifications, with Physiological Laboratory recorded as primary.
Getting there
The practice address on file is 1801 CENTURY PARK EAST SUITE 1040, Los Angeles, CA 90067. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| A44107 | CA | Physiological Laboratory primary |
| A106704 | CA | Physical Medicine & Rehabilitation… |
This provider holds licence A44107 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Physiological Laboratory covers
A 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. NUCC Health Care Provider Taxonomy, code 293D00000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 293D00000X | Physiological Laboratory | A44107 | CA | primary |
| 208100000X | Physical Medicine & Rehabilitation Physician | A106704 | CA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1013131796 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Apr 12, 2007 |
| Last updated | Dec 16, 2010 |
| Status | Active |
| Practice address |
1801 CENTURY PARK EAST SUITE 1040 Los Angeles, CA 90067 (310) 553-7980 Fax (310) 943-3279 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 1 | 3 | 1 | 3 | 1 | 7 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 2 | 3 | 2 | 3 | 2 | 7 | 9 |
Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.