COAT OF ARMS MEDICAL TRANSPORT SERVICES
NPI 1073211512
Ambulance - Land Transport in Covington, GA

NPI Status: Active since February 22, 2023

Contact Information

9109 HAZELBRAND RD NE
COVINGTON, GA
ZIP 30014
Phone: (470) 971-9281

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  • Organization
  • Ambulance
  • Land Transport
  • CLIA Number: 11D2269879
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 10-04-2026

About COAT OF ARMS MEDICAL TRANSPORT SERVICES

This page provides the complete NPI Profile along with additional information for Coat Of Arms Medical Transport Services, a provider established in Covington, Georgia operating as a Ambulance, focusing in land transport . The healthcare provider is registered in the NPI registry with number 1073211512 assigned on February 2023. The practitioner's primary taxonomy code is 3416L0300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Mr. Marcus K Speller Emt (Owner)

NPI
1073211512
Provider Name
COAT OF ARMS MEDICAL TRANSPORT SERVICES
Entity Type
Organization
Location Address
9109 HAZELBRAND RD NE COVINGTON, GA 30014
Location Phone
(470) 971-9281
Mailing Address
PO BOX 103 COVINGTON, GA 30015
Mailing Phone
(470) 971-9281
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-22-2023
Last Update Date
07-24-2023
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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

Ambulance Land Transport

Taxonomy Code
3416L0300X
Type
Transportation Services

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MARCUS K SPELLER EMT

Authorized Official Title
OWNER
Authorized Official Phone
(470) 321-1248

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
11D2269879
Facility Type
Ambulance
Certificate Effective Date
October 05, 2024
Certificate Expiration Date
October 04, 2026
Laboratory Director
MARCUS K. SPELLER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Coat Of Arms Medical Transport Services 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.
1073211512
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2014341252
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 4 + 1 + 2 + 5 + 2 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1073211512 is valid because the calculated check digit 2 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 1073211512, enumerated in the NPI registry as an "organization" on February 22, 2023

The provider is located at 9109 Hazelbrand Rd Ne Covington, Ga 30014 and the phone number is (470) 971-9281

This medical organization specializes in Ambulance with taxonomy code 3416L0300X with a focus in Land Transport

The provider's CLIA number is 11D2269879 for a "ambulance" 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 February 22, 2023. 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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