VELOCITY URGENT CARE
NPI 1518394428
Emergency Medicine in Southington, CT

NPI Status: Active since October 09, 2013

Contact Information

365 QUEEN STREET
UNIT 4
SOUTHINGTON, CT
ZIP 06489
Phone: (860) 372-4990
Fax: (860) 372-4699

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  • Organization
  • Emergency Medicine
  • CLIA Number: 07D2018540
  • CLIA Cert. Type: Other - URGENT CARE
  • CLIA Exp. Date: 01-09-2027

About VELOCITY URGENT CARE

This page provides the complete NPI Profile along with additional information for Velocity Urgent Care, a provider established in Southington, Connecticut operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1518394428 assigned on October 2013. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Velocity Urgent Care operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Velocity Urgent Care. The authorized official of this NPI record is Aleksandr Gorenbeyn Md (Owner)

NPI
1518394428
Provider Legal Name
URGENT CARE OF SOUTHINGTON LLC
Other Organization Name
VELOCITY URGENT CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
365 QUEEN STREET UNIT 4 SOUTHINGTON, CT 06489
Location Phone
(860) 372-4990
Location Fax
(860) 372-4699
Mailing Address
365 QUEEN STREET UNIT 4 SOUTHINGTON, CT 06489
Mailing Phone
(860) 372-4990
Mailing Fax
(860) 372-4699
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-09-2013
Last Update Date
05-03-2018
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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

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LA2200XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Adult Health

 

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.

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

ALEKSANDR GORENBEYN MD

Authorized Official Title
OWNER
Authorized Official Phone
(860) 372-4990

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
07D2018540
Facility Type
Other - URGENT CARE
Certificate Effective Date
January 10, 2025
Certificate Expiration Date
January 09, 2027
Laboratory Director
ANDREW KOSLOW
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Velocity Urgent Care 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.
1518394428
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
252869844
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 6 + 9 + 8 + 4 + 4 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1518394428 is valid because the calculated check digit 8 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 1518394428, enumerated in the NPI registry as an "organization" on October 09, 2013

The provider is located at 365 Queen Street Unit 4 Southington, Ct 06489 and the phone number is (860) 372-4990

This medical organization specializes in Emergency Medicine with taxonomy code 207P00000X

The provider's CLIA number is 07D2018540 for a "other - urgent care" 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 October 09, 2013. 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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