LAKE SUMTER UROLOGY, LLC
NPI 1285385401
Urology in Lady Lake, FL
NPI Status: Active since January 11, 2022
Contact Information
808 HIGHWAY 466
LADY LAKE, FL
ZIP 32159
Phone: (352) 775-6899
Fax: (877) 319-1879
- Organization
- Urology
- CLIA Number: 10D2283164
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-30-2025
About LAKE SUMTER UROLOGY, LLC
This page provides the complete NPI Profile along with additional information for Lake Sumter Urology, Llc, a provider established in Lady Lake, Florida operating as a Urology. The healthcare provider is registered in the NPI registry with number 1285385401 assigned on January 2022. The practitioner's primary taxonomy code is 208800000X. The provider is registered as an organization and their NPI record was last updated 2 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 Venkata Marella Md (Owner And Ao)
- NPI
- 1285385401
- Provider Name
- LAKE SUMTER UROLOGY, LLC
- Entity Type
- Organization
- Location Address
- 808 HIGHWAY 466 LADY LAKE, FL 32159
- Location Phone
- (352) 775-6899
- Location Fax
- (877) 319-1879
- Mailing Address
- 808 HIGHWAY 466 LADY LAKE, FL 32159
- Mailing Phone
- (352) 775-6899
- Mailing Fax
- (877) 319-1879
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-11-2022
- Last Update Date
- 11-22-2023
- 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
Urology
- Taxonomy Code
- 208800000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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.
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
- 10D2283164
- Facility Type
- Physician Office
- Certificate Effective Date
- June 02, 2023
- Certificate Expiration Date
- June 30, 2025
- Laboratory Director
- VENKATA K. MARELLA
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Lake Sumter Urology, Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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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 | 8 | 5 | 3 | 8 | 5 | 4 | 0 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 6 | 8 | 10 | 4 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 6 + 8 + 1 + 0 + 4 + 0 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1285385401 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1790771574 | JEFFREY R THILL M.D. Individual | Urology | 808 HIGHWAY 466 LADY LAKE, FL 32159 (352) 751-0040 |
| 1295872083 | ROSEMARY GAVAN ARNP Individual | Nurse Practitioner | 808 HIGHWAY 466 LADY LAKE, FL 32159 (352) 751-0040 |
| 1124294947 | MR. ALOYSIUS T BISONG JR. PA Individual | Physician Assistant | 808 HIGHWAY 466 LADY LAKE, FL 32159 (352) 751-0040 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285385401, enumerated in the NPI registry as an "organization" on January 11, 2022
The provider is located at 808 Highway 466 Lady Lake, Fl 32159 and the phone number is (352) 775-6899
This medical organization specializes in Urology with taxonomy code 208800000X
The provider's CLIA number is 10D2283164 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on January 11, 2022. 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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