LAKE SIDE DIAGNOSTICS CENTER, INC.
LAKE SIDE DIAGNOSTICS CENTER, INC. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1558550129, based in Valley Glen, CA. The organization lists 3 taxonomy classifications, with Mobile Radiology Clinic/Center recorded as primary.
Getting there
The practice address on file is 6908 VARNA AVE, Valley Glen, CA 91405. 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
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Independent Diagnostic Testing Facility (idtf)
- PAC ID
- 6709942766
- Enrollment ID
- O20090227000320
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Independent Diagnostic Testing Facility (idtf). Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Radiology, Mobile covers
Definition to come... NUCC Health Care Provider Taxonomy, code 261QR0208X
All registered taxonomy codes
This provider registers 6 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 261QR0208X | Mobile Radiology Clinic/Center Radiology, Mobile | — | CA | primary |
| 2471S1302X | Sonography Radiologic Technologist Sonography | — | — | |
| 2471S1302X | Sonography Radiologic Technologist Sonography | — | CA | |
| 261QR0208X | Mobile Radiology Clinic/Center Radiology, Mobile | — | — | |
| 293D00000X | Physiological Laboratory | — | — | |
| 293D00000X | Physiological Laboratory | — | 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 | 1558550129 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Oct 19, 2007 |
| Last updated | Oct 26, 2022 |
| Status | Active |
| Practice address |
6908 VARNA AVE Valley Glen, CA 91405 (818) 985-1999 Fax (818) 985-1222 |
| Other identifiers |
3311838
· Medicaid (CA) |
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 | 5 | 5 | 8 | 5 | 5 | 0 | 1 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 5 | 1 | 8 | 1 | 5 | 0 | 1 | 4 |
Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9
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.