ATHENIX BODY SCULPTING INSTITUTE
NPI 1255722336
Clinic/Center - Ambulatory Surgical in Fresno, CA
NPI Status: Active since February 11, 2015
Contact Information
7015 N MAPLE AVE
STE 102
FRESNO, CA
ZIP 93720
Phone: (559) 325-7855
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 05D2019729
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 05-26-2027
About ATHENIX BODY SCULPTING INSTITUTE
This page provides the complete NPI Profile along with additional information for Athenix Body Sculpting Institute, a provider established in Fresno, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1255722336 assigned on February 2015. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Athenix Body Sculpting Institute. The authorized official of this NPI record is Mr. James Haefner (Administration)
- NPI
- 1255722336
- Provider Legal Name
- NORTHWEST SURGICAL DEVELOPMENT OF FRESNO LLC
- Other Organization Name
- ATHENIX BODY SCULPTING INSTITUTE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 7015 N MAPLE AVE STE 102 FRESNO, CA 93720
- Location Phone
- (559) 325-7855
- Mailing Address
- 65 ENTERPRISE STE 125 ALISO VIEJO, CA 92656
- Mailing Phone
- (949) 600-9931
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-11-2015
- Last Update Date
- 02-11-2015
- 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
- 05D2019729
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- May 27, 2025
- Certificate Expiration Date
- May 26, 2027
- Laboratory Director
- GAVIN M. DRY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Athenix Body Sculpting Institute 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 | 7 | 2 | 2 | 3 | 3 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 14 | 2 | 4 | 3 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 1 + 4 + 2 + 4 + 3 + 6 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1255722336 is valid because the calculated check digit 6 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 1255722336, enumerated in the NPI registry as an "organization" on February 11, 2015
The provider is located at 7015 N Maple Ave Ste 102 Fresno, Ca 93720 and the phone number is (559) 325-7855
This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical
The provider's CLIA number is 05D2019729 for a "ambulatory surgery center" 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 11, 2015. 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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