METRODORA CAI
NPI 1043955602
Clinic/Center - Ambulatory Surgical in West Valley City, UT
NPI Status: Active since April 28, 2022
Contact Information
3535 S MARKET ST
WEST VALLEY CITY, UT
ZIP 84119
Phone: (801) 907-1796
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 46D2281798
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-31-2026
About METRODORA CAI
This page provides the complete NPI Profile along with additional information for Metrodora Cai, a provider established in West Valley City, Utah operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1043955602 assigned on April 2022. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Metrodora Cai. The authorized official of this NPI record is Dr. Laura A. Pace Md, Phd (Ceo, Metrodora Institute)
- NPI
- 1043955602
- Provider Legal Name
- METRODORA ASC, LLC
- Other Organization Name
- METRODORA CAI
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3535 S MARKET ST WEST VALLEY CITY, UT 84119
- Location Phone
- (801) 907-1796
- Mailing Address
- 3535 S MARKET ST WEST VALLEY CITY, UT 84119
- Mailing Phone
- (203) 858-8679
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-28-2022
- Last Update Date
- 01-07-2023
- Code Navigator
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 Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- 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
- 46D2281798
- Facility Type
- Physician Office
- Certificate Effective Date
- August 01, 2024
- Certificate Expiration Date
- July 31, 2026
- Laboratory Director
- SHANNON FLITTON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Metrodora Cai 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 | 4 | 3 | 9 | 5 | 5 | 6 | 0 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 8 | 3 | 18 | 5 | 10 | 6 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 8 + 3 + 1 + 8 + 5 + 1 + 0 + 6 + 0 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1043955602 is valid because the calculated check digit 2 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 |
|---|---|---|---|
| 1407441942 | STACY WALKER MSN, APRN, FNP-C Individual | Nurse Practitioner (Family) | 3535 S MARKET ST WEST VALLEY CITY, UT 84119 (385) 430-1430 |
| 1265298996 | SAMUEL BARCO DNP Individual | Nurse Practitioner | 3535 S MARKET ST WEST VALLEY CITY, UT 84119 (385) 430-1430 |
| 1124762281 | METRODORA CLINIC, PLLC Organization | Clinic/Center (Multi-Specialty) | 3535 S MARKET ST WEST VALLEY CITY, UT 84119 (385) 430-1430 |
| 1558134122 | EMILY M TINGEY FNP-C Individual | Nurse Practitioner (Family) | 3535 S MARKET ST WEST VALLEY CITY, UT 84119 (385) 430-1430 |
| 1245890383 | ARLENE R HOLLAND APRN Individual | Nurse Practitioner (Psychiatric/Mental Health) | 3535 S MARKET ST WEST VALLEY, UT 84119 (801) 359-2256 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043955602, enumerated in the NPI registry as an "organization" on April 28, 2022
The provider is located at 3535 S Market St West Valley City, Ut 84119 and the phone number is (801) 907-1796
This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical
The provider's CLIA number is 46D2281798 for a "physician office" 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 April 28, 2022. 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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