AMPLE URGENT AND PRIMARY CARE LLC
NPI 1497474191
Clinic/Center - Primary Care in West Hartford, CT

NPI Status: Active since August 25, 2022

Contact Information

10 PRINCETON ST
WEST HARTFORD, CT
ZIP 06110
Phone: (860) 707-5392

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  • Organization
  • Clinic/Center
  • Primary Care
  • CLIA Number: 07D2280619
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 04-23-2025

About AMPLE URGENT AND PRIMARY CARE LLC

This page provides the complete NPI Profile along with additional information for Ample Urgent And Primary Care Llc, a primary care provider established in West Hartford, Connecticut operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1497474191 assigned on August 2022. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Mojdeh Heidari Fnp-dnp (Owner)

NPI
1497474191
Provider Name
AMPLE URGENT AND PRIMARY CARE LLC
Entity Type
Organization
Location Address
10 PRINCETON ST WEST HARTFORD, CT 06110
Location Phone
(860) 707-5392
Mailing Address
10 PRINCETON ST WEST HARTFORD, CT 06110
Mailing Phone
(860) 707-5392
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-25-2022
Last Update Date
09-30-2022
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A primary care provider (PCP) like Ample Urgent And Primary Care Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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 Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities

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

MOJDEH HEIDARI FNP-DNP

Authorized Official Title
OWNER
Authorized Official Phone
(860) 707-5392

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
07D2280619
Facility Type
Independent
Certificate Effective Date
April 24, 2023
Certificate Expiration Date
April 23, 2025
Laboratory Director
HEIDARI MOJDEH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ample Urgent And Primary 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.

Reviews for AMPLE URGENT AND PRIMARY CARE LLC

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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.
1497474191
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24187878118
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 8 + 7 + 8 + 1 + 1 + 8 + 24 = 79
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 79 = 11

The NPI number 1497474191 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
1245233238 STUART R. LIFTIG D.M.D.
Individual
Dentist (General Practice)10 PRINCETON ST
WEST HARTFORD, CT 06110
(860) 232-8466
1477585297 ELIZABETH ROMAC KARRENBERG D.P.M.
Individual
Podiatrist10 PRINCETON ST
WEST HARTFORD, CT 06110
(860) 233-1978
1306300397 MOJDEH HEIDARI FNP
Individual
Family Medicine10 PRINCETON ST
WEST HARTFORD, CT 06110
(860) 707-5392

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497474191, enumerated in the NPI registry as an "organization" on August 25, 2022

The provider is located at 10 Princeton St West Hartford, Ct 06110 and the phone number is (860) 707-5392

This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care

The provider's CLIA number is 07D2280619 for a "independent" 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 25, 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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