INOVA OAKVILLE AMBULATORY SURGERY CENTER, LLC
NPI 1255194189
Clinic/Center - Ambulatory Surgical in Alexandria, VA
NPI Status: Active since February 02, 2024
Contact Information
400 FANNON ST STE 200
ALEXANDRIA, VA
ZIP 22301
Phone: (703) 672-2635
Fax: (703) 672-2650
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 49D2313387
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-29-2026
About INOVA OAKVILLE AMBULATORY SURGERY CENTER, LLC
This page provides the complete NPI Profile along with additional information for Inova Oakville Ambulatory Surgery Center, Llc, a provider established in Alexandria, Virginia operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1255194189 assigned on February 2024. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Darasinh Phoummithone Mayard (A/r & Operations Manager)
- NPI
- 1255194189
- Provider Name
- INOVA OAKVILLE AMBULATORY SURGERY CENTER, LLC
- Entity Type
- Organization
- Location Address
- 400 FANNON ST STE 200 ALEXANDRIA, VA 22301
- Location Phone
- (703) 672-2635
- Location Fax
- (703) 672-2650
- Mailing Address
- 400 FANNON ST. 200 ALEXANDRIA, VA 22301
- Mailing Phone
- (703) 672-2624
- Mailing Fax
- (703) 672-2650
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-02-2024
- Last Update Date
- 09-10-2024
- 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 Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- 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
- 49D2313387
- Facility Type
- Physician Office
- Certificate Effective Date
- October 30, 2024
- Certificate Expiration Date
- October 29, 2026
- Laboratory Director
- CRYSTAL A. JONES
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Inova Oakville Ambulatory Surgery Center, Llc 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 | 2 | 5 | 5 | 1 | 9 | 4 | 1 | 8 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 2 | 9 | 8 | 1 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 2 + 9 + 8 + 1 + 1 + 6 + 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 1255194189 is valid because the calculated check digit 9 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 1255194189, enumerated in the NPI registry as an "organization" on February 02, 2024
The provider is located at 400 Fannon St Ste 200 Alexandria, Va 22301 and the phone number is (703) 672-2635
This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical
The provider's CLIA number is 49D2313387 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 February 02, 2024. 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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