LIFESTREAM HEALTH CENTER PA
NPI 1235363409
Specialist in Coppell, TX
NPI Status: Active since May 04, 2009
Contact Information
705 MAIN ST
COPPELL, TX
ZIP 75019
Phone: (972) 304-6400
Fax: (972) 304-6455
- Organization
- Specialist
- CLIA Number: 45D2243851
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-22-2025
About LIFESTREAM HEALTH CENTER PA
This page provides the complete NPI Profile along with additional information for Lifestream Health Center Pa, a provider established in Coppell, Texas operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1235363409 assigned on May 2009. The practitioner's primary taxonomy code is 174400000X with license number H6110 (TX). The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Brandon C Charles M.d. (President)
- NPI
- 1235363409
- Provider Name
- LIFESTREAM HEALTH CENTER PA
- Entity Type
- Organization
- Location Address
- 705 MAIN ST COPPELL, TX 75019
- Location Phone
- (972) 304-6400
- Location Fax
- (972) 304-6455
- Mailing Address
- 705 MAIN STREET COPPELL, TX 75019
- Mailing Phone
- (972) 304-6400
- Mailing Fax
- (972) 304-6455
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-04-2009
- Last Update Date
- 03-29-2016
- 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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- H6110
- License State
- TX
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| H6110 | OTHER (01) | TX | TEXAS MEDICAL BOARD LICENSE |
| E28262 | MEDICARE UPIN (02) | TX |
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
- 45D2243851
- Facility Type
- Physician Office
- Certificate Effective Date
- November 23, 2023
- Certificate Expiration Date
- November 22, 2025
- Laboratory Director
- BRANDON CHARLES
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Lifestream Health Center Pa 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 LIFESTREAM HEALTH CENTER PA
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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 | 3 | 5 | 3 | 6 | 3 | 4 | 0 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 6 | 6 | 6 | 4 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 6 + 6 + 6 + 4 + 0 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1235363409 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1609833276 | BRANDON C CHARLES MD Individual | Obstetrics & Gynecology | 705 MAIN ST COPPELL, TX 75019 (972) 304-6400 |
| 1366447211 | DR. SHAROLYN K. DIHIGO DNP, RN, CPNP, FNP-C Individual | Nurse Practitioner (Family) | 705 MAIN ST COPPELL, TX 75019 (972) 304-6400 |
| 1326386004 | HARRIS 4 HEALTH, PLLC Organization | Nurse Practitioner (Family) | 705 MAIN ST COPPELL, TX 75019 (972) 304-6400 |
| 1962879015 | DR. SCHARLENE KAY GAUDET DC, DACNB Individual | Chiropractor (Neurology) | 705 MAIN ST COPPELL, TX 75019 (469) 790-7343 |
| 1598341588 | JANA ELISABETH ROGERS FNP-C Individual | Nurse Practitioner (Family) | 705 MAIN ST COPPELL, TX 75019 (972) 440-2359 |
| 1689707515 | MICHAEL D SULLIVAN PA Individual | Physician Assistant | 705 MAIN ST COPPELL, TX 75019 (972) 304-6400 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235363409, enumerated in the NPI registry as an "organization" on May 04, 2009
The provider is located at 705 Main St Coppell, Tx 75019 and the phone number is (972) 304-6400
This medical organization specializes in Specialist with taxonomy code 174400000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 45D2243851 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, 2009. 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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