HEALTHY MD CLINICAL, LLC F/K/A INDEPENDENT MEDICAL GROUP, LLC
NPI 1033881180
Clinic/Center - Community Health in Port St Lucie, FL
NPI Status: Active since September 28, 2021
Contact Information
7436 S FEDERAL HWY
PORT ST LUCIE, FL
ZIP 34952
Phone: (800) 773-7066
- Organization
- Clinic/Center
- Community Health
- CLIA Number: 10D2172036
- CLIA Cert. Type: Other - HIV/STI TESTING CLINIC
- CLIA Exp. Date: 09-12-2025
About HEALTHY MD CLINICAL, LLC F/K/A INDEPENDENT MEDICAL GROUP, LLC
This page provides the complete NPI Profile along with additional information for Healthy Md Clinical, Llc F/k/a Independent Medical Group, Llc, a primary care provider established in Port St Lucie, Florida operating as a Clinic/center, focusing in community health . The healthcare provider is registered in the NPI registry with number 1033881180 assigned on September 2021. The practitioner's primary taxonomy code is 261QC1500X. The provider is registered as an organization and their NPI record was last updated May 2025. The provider's
- NPI
- 1033881180
- Provider Legal Name
- HEALTHY MD CLINICAL, LLC F/K/A INDEPENDENT MEDICAL GROUP, LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 7436 S FEDERAL HWY PORT ST LUCIE, FL 34952
- Location Phone
- (800) 773-7066
- Mailing Address
- 6119 LYONS RD COCONUT CREEK, FL 33073
- Mailing Phone
- (800) 773-7066
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-28-2021
- Last Update Date
- 05-14-2025
- Code Navigator
A primary care provider (PCP) like Healthy Md Clinical, Llc F/k/a Independent Medical Group, Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
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
Clinic/Center Community Health
- Taxonomy Code
- 261QC1500X
- Type
- Ambulatory Health Care Facilities
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
- 10D2172036
- Facility Type
- Other - HIV/STI TESTING CLINIC
- Certificate Effective Date
- September 13, 2023
- Certificate Expiration Date
- September 12, 2025
- Laboratory Director
- KISHMA VICTOR
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Healthy Md Clinical, Llc F/k/a Independent Medical Group, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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. | |||||||||
| 1 | 0 | 3 | 3 | 8 | 8 | 1 | 1 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 6 | 3 | 16 | 8 | 2 | 1 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 6 + 3 + 1 + 6 + 8 + 2 + 1 + 1 + 6 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1033881180 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033881180, enumerated in the NPI registry as an "organization" on September 28, 2021
The provider is located at 7436 S Federal Hwy Port St Lucie, Fl 34952 and the phone number is (800) 773-7066
This medical organization specializes in Clinic/Center with taxonomy code 261QC1500X with a focus in Community Health
The provider's CLIA number is 10D2172036 for a "other - hiv/sti testing clinic" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on September 28, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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