MEDICAL CITY ARLINGTON
NPI 1114107604
Clinic/Center - Multi-Specialty in Arlington, TX
NPI Status: Active since November 13, 2007
Contact Information
3301 MATLOCK RD
ARLINGTON, TX
ZIP 76015
Phone: (817) 465-3241
Fax: (817) 472-4878
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 45D2308134
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-22-2026
About MEDICAL CITY ARLINGTON
This page provides the complete NPI Profile along with additional information for Medical City Arlington, a provider established in Arlington, Texas operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1114107604 assigned on November 2007. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Medical City Arlington. The authorized official of this NPI record is Jeff Ardemagni (Cfo)
- NPI
- 1114107604
- Provider Legal Name
- COLUMBIA MEDICAL CENTER OF ARLINGTON SUBSIDIARY LP
- Other Organization Name
- MEDICAL CITY ARLINGTON
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3301 MATLOCK RD ARLINGTON, TX 76015
- Location Phone
- (817) 465-3241
- Location Fax
- (817) 472-4878
- Mailing Address
- 3301 MATLOCK RD ARLINGTON, TX 76015
- Mailing Phone
- (817) 472-4909
- Mailing Fax
- (817) 472-4878
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-13-2007
- Last Update Date
- 11-15-2016
- 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 Multi-Specialty
- Taxonomy Code
- 261QM1300X
- 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
- 45D2308134
- Facility Type
- Physician Office
- Certificate Effective Date
- July 23, 2024
- Certificate Expiration Date
- July 22, 2026
- Laboratory Director
- KIMBERLY UDELL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Medical City Arlington 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 | 1 | 1 | 4 | 1 | 0 | 7 | 6 | 0 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 1 | 2 | 4 | 2 | 0 | 14 | 6 | 0 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 1 + 2 + 4 + 2 + 0 + 1 + 4 + 6 + 0 + 24 = 46 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
50 - 46 = 4 | 4 |
The NPI number 1114107604 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1265417786 | DR. GEORGE WISDOM ABATSO MD Individual | Emergency Medicine | 3301 MATLOCK RD ARLINGTON, TX 76015 (972) 758-3523 |
1285619668 | DR. KARIN S ANDERSON MD Individual | Emergency Medicine | 3301 MATLOCK RD ARLINGTON, TX 76015 (972) 758-3523 |
1487639480 | DR. TRENT RUSSELL BOYKO M.D. Individual | Emergency Medicine | 3301 MATLOCK RD ARLINGTON, TX 76015 (972) 758-3598 |
1922083617 | DR. M MCKIM DAVIS D.O. Individual | Emergency Medicine | 3301 MATLOCK RD ARLINGTON, TX 76015 (972) 758-3598 |
1629053491 | DR. ROBERT P ANDELMAN M.D. Individual | Emergency Medicine | 3301 MATLOCK RD ARLINGTON, TX 76015 (972) 758-3523 |
1093791774 | DR. GAYLA B GARNER M.D. Individual | Emergency Medicine | 3301 MATLOCK RD ARLINGTON, TX 76015 (972) 758-3598 |
1174509053 | JOSEPH W NAWROCKI MD Individual | Emergency Medicine | 3301 MATLOCK RD ARLINGTON, TX 76015 (972) 758-3598 |
1740269257 | DR. CHARLES ALLAN PHILLIPS MD Individual | Emergency Medicine | 3301 MATLOCK RD ARLINGTON, TX 76015 (817) 472-4869 |
1548240898 | DR. RICHARD STEVEN URSO MD Individual | Emergency Medicine | 3301 MATLOCK RD ARLINGTON, TX 76015 (817) 472-4869 |
1700866076 | DR. JOHN M WARD DO Individual | Emergency Medicine | 3301 MATLOCK RD ARLINGTON, TX 76015 (817) 472-5486 |
1710025663 | CHRISTOPHER GEORGE STANFIELD NP Individual | Nurse Practitioner | 3301 MATLOCK RD ARLINGTON, TX 76015 (817) 472-4869 |
1598973687 | MRS. JOY DIXSON M.S.CCC/SLP Individual | Speech-Language Pathologist | 3301 MATLOCK RD ARLINGTON, TX 76015 (817) 472-4906 |
1063781045 | SANDRA O'PRY NNP Individual | Nurse Practitioner | 3301 MATLOCK RD ARLINGTON, TX 76015 (800) 437-2672 |
1871861088 | MICHAEL APPIAH ASARE PA-C Individual | Physician Assistant | 3301 MATLOCK RD ARLINGTON, TX 76015 (817) 465-3241 |
1235594995 | KARA BADER AGACNP-BC Individual | Nurse Practitioner (Acute Care) | 3301 MATLOCK RD ARLINGTON, TX 76015 (817) 465-3241 |
1386002855 | KEVIN CZERWIESKI Individual | Nurse Practitioner (Family) | 3301 MATLOCK RD ARLINGTON, TX 76015 (817) 465-3241 |
1366493090 | COLUMBIA MEDICAL CENTER OF ARLINGTON SUBSIDIARY LP Organization | Clinic/Center (Ambulatory Surgical) | 3301 MATLOCK RD ARLINGTON, TX 76015 (817) 465-3241 |
1912950114 | COLUMBIA MEDICAL CENTER OF ARLINGTON SUBSIDIARY LP Organization | Rehabilitation Unit | 3301 MATLOCK RD ARLINGTON, TX 76015 (817) 472-4909 |
1144729161 | MARY GRACE SHAFER CCC-SLP Individual | Speech-Language Pathologist | 3301 MATLOCK RD ARLINGTON, TX 76015 (682) 509-6200 |
1396123477 | JEROME WARREN TOLER D.O. Individual | Emergency Medicine | 3301 MATLOCK RD ARLINGTON, TX 76015 (682) 509-6200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114107604, enumerated in the NPI registry as an "organization" on November 13, 2007
The provider is located at 3301 Matlock Rd Arlington, Tx 76015 and the phone number is (817) 465-3241
This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty
The provider's CLIA number is 45D2308134 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 November 13, 2007. 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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