RUNNELS PLASTIC SURGERY CENTER LLC
NPI 1275780660
Clinic/Center - Ambulatory Surgical in Flowood, MS

NPI Status: Active since August 27, 2008

Contact Information

1057 RIVER OAKS DRIVE
FLOWOOD, MS
ZIP 39232
Phone: (601) 939-9778

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 25D1086365
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 07-09-2026

About RUNNELS PLASTIC SURGERY CENTER LLC

This page provides the complete NPI Profile along with additional information for Runnels Plastic Surgery Center Llc, a provider established in Flowood, Mississippi operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1275780660 assigned on August 2008. The practitioner's primary taxonomy code is 261QA1903X with license number 13960 (MS). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Rudolph Scott Runnels Jr. M,d. (Owner)

NPI
1275780660
Provider Name
RUNNELS PLASTIC SURGERY CENTER LLC
Entity Type
Organization
Location Address
1057 RIVER OAKS DRIVE FLOWOOD, MS 39232
Location Phone
(601) 939-9778
Mailing Address
1057 RIVER OAKS DRIVE FLOWOOD, MS 39232
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-27-2008
Last Update Date
08-27-2008
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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
License No.
13960
License State
MS

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RUDOLPH SCOTT RUNNELS JR. M,D.

Authorized Official Title
OWNER
Authorized Official Phone
(601) 939-9778

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
25D1086365
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
July 10, 2024
Certificate Expiration Date
July 09, 2026
Laboratory Director
DR. RUDOLPH S. RUNNELS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Runnels Plastic 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.
1275780660
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221451480612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 4 + 8 + 0 + 6 + 1 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1275780660 is valid because the calculated check digit 0 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 1275780660, enumerated in the NPI registry as an "organization" on August 27, 2008

The provider is located at 1057 River Oaks Drive Flowood, Ms 39232 and the phone number is (601) 939-9778

This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical

The provider's CLIA number is 25D1086365 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 August 27, 2008. 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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