NMB MOBILE URGENT CARE, LLC
NPI 1275135782
Clinic/Center - Urgent Care in North Myrtle Beach, SC
NPI Status: Active since November 10, 2020
Contact Information
1019 HIGHWAY 17 S STE 110
NORTH MYRTLE BEACH, SC
ZIP 29582
Phone: (843) 290-8097
Fax: (833) 469-2580
- Organization
- Clinic/Center
- Urgent Care
- CLIA Number: 42D2186188
- CLIA Cert. Type: Mobile Laboratory
- CLIA Exp. Date: 06-14-2026
About NMB MOBILE URGENT CARE, LLC
This page provides the complete NPI Profile along with additional information for Nmb Mobile Urgent Care, Llc, a provider established in North Myrtle Beach, South Carolina operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1275135782 assigned on November 2020. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Michelle Petrillo Rma (Owner)
- NPI
- 1275135782
- Provider Name
- NMB MOBILE URGENT CARE, LLC
- Entity Type
- Organization
- Location Address
- 1019 HIGHWAY 17 S STE 110 NORTH MYRTLE BEACH, SC 29582
- Location Phone
- (843) 290-8097
- Location Fax
- (833) 469-2580
- Mailing Address
- PO BOX 558 NORTH MYRTLE BEACH, SC 29597
- Mailing Phone
- (843) 290-8097
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-10-2020
- Last Update Date
- 11-10-2020
- 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 Urgent Care
- Taxonomy Code
- 261QU0200X
- 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
- 42D2186188
- Facility Type
- Mobile Laboratory
- Certificate Effective Date
- June 15, 2024
- Certificate Expiration Date
- June 14, 2026
- Laboratory Director
- JEFFREY BLOOMBERG
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Nmb Mobile Urgent Care, 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 | 7 | 5 | 1 | 3 | 5 | 7 | 8 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 14 | 5 | 2 | 3 | 10 | 7 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 4 + 5 + 2 + 3 + 1 + 0 + 7 + 1 + 6 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1275135782 is valid because the calculated check digit 2 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 1275135782, enumerated in the NPI registry as an "organization" on November 10, 2020
The provider is located at 1019 Highway 17 S Ste 110 North Myrtle Beach, Sc 29582 and the phone number is (843) 290-8097
This medical organization specializes in Clinic/Center with taxonomy code 261QU0200X with a focus in Urgent Care
The provider's CLIA number is 42D2186188 for a "mobile laboratory" 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 November 10, 2020. 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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