ARIZONA GENERAL ER LLC
NPI 1164822904
Clinic/Center - Emergency Care in Laveen, AZ
NPI Status: Active since August 29, 2014
Contact Information
7171 S. 51ST AVE
LAVEEN, AZ
ZIP 85339
Phone: (972) 899-6650
Fax: (972) 899-5954
- Organization
- Clinic/Center
- Emergency Care
- CLIA Number: 03D2085266
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 07-12-2026
About ARIZONA GENERAL ER LLC
This page provides the complete NPI Profile along with additional information for Arizona General Er Llc, a provider established in Laveen, Arizona operating as a Clinic/center, focusing in emergency care . The healthcare provider is registered in the NPI registry with number 1164822904 assigned on August 2014. The practitioner's primary taxonomy code is 261QE0002X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Tim Fielding (Cfo)
- NPI
- 1164822904
- Provider Name
- ARIZONA GENERAL ER LLC
- Entity Type
- Organization
- Location Address
- 7171 S. 51ST AVE LAVEEN, AZ 85339
- Location Phone
- (972) 899-6650
- Location Fax
- (972) 899-5954
- Mailing Address
- PO BOX 840795 DALLAS, TX 75284
- Mailing Phone
- (972) 899-6650
- Mailing Fax
- (972) 899-5954
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-29-2014
- Last Update Date
- 08-29-2014
- 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 Emergency Care
- Taxonomy Code
- 261QE0002X
- 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
- 03D2085266
- Facility Type
- Hospital
- Certificate Effective Date
- July 13, 2024
- Certificate Expiration Date
- July 12, 2026
- Laboratory Director
- DR. JESSICA K. DANIELS
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Arizona General Er Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 | 6 | 4 | 8 | 2 | 2 | 9 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 16 | 2 | 4 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 1 + 6 + 2 + 4 + 9 + 0 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1164822904 is valid because the calculated check digit 4 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 1164822904, enumerated in the NPI registry as an "organization" on August 29, 2014
The provider is located at 7171 S. 51st Ave Laveen, Az 85339 and the phone number is (972) 899-6650
This medical organization specializes in Clinic/Center with taxonomy code 261QE0002X with a focus in Emergency Care
The provider's CLIA number is 03D2085266 for a "hospital" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on August 29, 2014. 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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