DEDICATED SENIOR MEDICAL CENTER BORDEAUX (TC)
NPI 1215672191
Non-Pharmacy Dispensing Site in Nashville, TN
NPI Status: Active since May 04, 2022
Contact Information
505 MAINSTREAM DR
NASHVILLE, TN
ZIP 37228
Phone: (629) 895-0080
Fax: (629) 895-5389
- Organization
- Non-Pharmacy Dispensing Site
- CLIA Number: 44D2280558
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-20-2027
About DEDICATED SENIOR MEDICAL CENTER BORDEAUX (TC)
This page provides the complete NPI Profile along with additional information for Dedicated Senior Medical Center Bordeaux (tc), a provider established in Nashville, Tennessee operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1215672191 assigned on May 2022. The practitioner's primary taxonomy code is 332900000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Dedicated Senior Medical Center Bordeaux (tc) operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Dedicated Senior Medical Center Bordeaux (tc). The authorized official of this NPI record is Mary Chen (Authorized Official)
- NPI
- 1215672191
- Provider Legal Name
- DEDICATED PHYSICIANS GROUP OF TENNESSEE, PLLC
- Other Organization Name
- DEDICATED SENIOR MEDICAL CENTER BORDEAUX (TC)
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 505 MAINSTREAM DR NASHVILLE, TN 37228
- Location Phone
- (629) 895-0080
- Location Fax
- (629) 895-5389
- Mailing Address
- 1395 NW 167TH ST MIAMI GARDENS, FL 33169
- Mailing Phone
- (305) 628-6117
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-04-2022
- Last Update Date
- 07-11-2022
- 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
Non-Pharmacy Dispensing Site
- Taxonomy Code
- 332900000X
- Type
- Suppliers
- Taxonomy Description
- A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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
- 44D2280558
- Facility Type
- Physician Office
- Certificate Effective Date
- April 21, 2025
- Certificate Expiration Date
- April 20, 2027
- Laboratory Director
- ANITHA LAKSHMI MULLANGI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Dedicated Senior Medical Center Bordeaux (tc) 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 DEDICATED SENIOR MEDICAL CENTER BORDEAUX (TC)
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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 | 2 | 1 | 5 | 6 | 7 | 2 | 1 | 9 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 2 | 5 | 12 | 7 | 4 | 1 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 2 + 5 + 1 + 2 + 7 + 4 + 1 + 1 + 8 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1215672191 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1437546694 | MISSIONPOINT SERVICES, LLC Organization | Clinic/Center (Primary Care) | 505 MAINSTREAM DR NASHVILLE, TN 37228 (615) 284-6444 |
| 1073277679 | CROSSROADS TREATMENT CENTERS OF TENNESSEE, PC Organization | Clinic/Center | 505 MAINSTREAM DR NASHVILLE, TN 37228 (800) 805-6988 |
| 1861159287 | CROSSROADS TREATMENT CENTERS OF TENNESSEE, PC Organization | Clinic/Center | 505 MAINSTREAM DR NASHVILLE, TN 37228 (800) 805-6989 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215672191, enumerated in the NPI registry as an "organization" on May 04, 2022
The provider is located at 505 Mainstream Dr Nashville, Tn 37228 and the phone number is (629) 895-0080
This medical organization specializes in Non-Pharmacy Dispensing Site with taxonomy code 332900000X
The provider's CLIA number is 44D2280558 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 May 04, 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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