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

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  • 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
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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

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

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

JEFF ARDEMAGNI

Authorized Official Title
CFO
Authorized Official Phone
(817) 472-4909

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.

Reviews for MEDICAL CITY ARLINGTON

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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.
1114107604
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2124201460
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 = 44

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
1265417786DR. GEORGE WISDOM ABATSO MD
Individual
Emergency Medicine3301 MATLOCK RD
ARLINGTON, TX 76015
(972) 758-3523
1285619668DR. KARIN S ANDERSON MD
Individual
Emergency Medicine3301 MATLOCK RD
ARLINGTON, TX 76015
(972) 758-3523
1487639480DR. TRENT RUSSELL BOYKO M.D.
Individual
Emergency Medicine3301 MATLOCK RD
ARLINGTON, TX 76015
(972) 758-3598
1922083617DR. M MCKIM DAVIS D.O.
Individual
Emergency Medicine3301 MATLOCK RD
ARLINGTON, TX 76015
(972) 758-3598
1629053491DR. ROBERT P ANDELMAN M.D.
Individual
Emergency Medicine3301 MATLOCK RD
ARLINGTON, TX 76015
(972) 758-3523
1093791774DR. GAYLA B GARNER M.D.
Individual
Emergency Medicine3301 MATLOCK RD
ARLINGTON, TX 76015
(972) 758-3598
1174509053 JOSEPH W NAWROCKI MD
Individual
Emergency Medicine3301 MATLOCK RD
ARLINGTON, TX 76015
(972) 758-3598
1740269257DR. CHARLES ALLAN PHILLIPS MD
Individual
Emergency Medicine3301 MATLOCK RD
ARLINGTON, TX 76015
(817) 472-4869
1548240898DR. RICHARD STEVEN URSO MD
Individual
Emergency Medicine3301 MATLOCK RD
ARLINGTON, TX 76015
(817) 472-4869
1700866076DR. JOHN M WARD DO
Individual
Emergency Medicine3301 MATLOCK RD
ARLINGTON, TX 76015
(817) 472-5486
1710025663 CHRISTOPHER GEORGE STANFIELD NP
Individual
Nurse Practitioner3301 MATLOCK RD
ARLINGTON, TX 76015
(817) 472-4869
1598973687MRS. JOY DIXSON M.S.CCC/SLP
Individual
Speech-Language Pathologist3301 MATLOCK RD
ARLINGTON, TX 76015
(817) 472-4906
1063781045 SANDRA O'PRY NNP
Individual
Nurse Practitioner3301 MATLOCK RD
ARLINGTON, TX 76015
(800) 437-2672
1871861088 MICHAEL APPIAH ASARE PA-C
Individual
Physician Assistant3301 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
1366493090COLUMBIA MEDICAL CENTER OF ARLINGTON SUBSIDIARY LP
Organization
Clinic/Center (Ambulatory Surgical)3301 MATLOCK RD
ARLINGTON, TX 76015
(817) 465-3241
1912950114COLUMBIA MEDICAL CENTER OF ARLINGTON SUBSIDIARY LP
Organization
Rehabilitation Unit3301 MATLOCK RD
ARLINGTON, TX 76015
(817) 472-4909
1144729161 MARY GRACE SHAFER CCC-SLP
Individual
Speech-Language Pathologist3301 MATLOCK RD
ARLINGTON, TX 76015
(682) 509-6200
1396123477 JEROME WARREN TOLER D.O.
Individual
Emergency Medicine3301 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.