BMA CRYSTAL SPRING DIALYSIS
NPI 1619071487
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Roanoke, VA

NPI Status: Active since September 12, 2006

Contact Information

404 MCCLANAHAN ST SW
ROANOKE, VA
ZIP 24014
Phone: (540) 342-5514

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment
  • CLIA Number: 49D2031356
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 10-17-2025

About BMA CRYSTAL SPRING DIALYSIS

This page provides the complete NPI Profile along with additional information for Bma Crystal Spring Dialysis, a provider established in Roanoke, Virginia operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1619071487 assigned on September 2006. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Bma Crystal Spring Dialysis. The authorized official of this NPI record is Mark Fawcett (Treasurer)

NPI
1619071487
Provider Legal Name
BIO-MEDICAL APPLICATIONS OF VIRGINIA, INC.
Other Organization Name
BMA CRYSTAL SPRING DIALYSIS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
404 MCCLANAHAN ST SW ROANOKE, VA 24014
Location Phone
(540) 342-5514
Mailing Address
404 MCCLANAHAN ST SW ROANOKE, VA 24014
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-12-2006
Last Update Date
08-22-2020
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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 End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
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

MARK FAWCETT

Authorized Official Title
TREASURER
Authorized Official Phone
(781) 402-9000

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
49D2031356
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
October 18, 2023
Certificate Expiration Date
October 17, 2025
Laboratory Director
SHAHRAM AHMADZADEH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bma Crystal Spring Dialysis 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.
1619071487
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2629072416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 2 + 9 + 0 + 7 + 2 + 4 + 1 + 6 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1619071487 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033434618FRESENIUS MEDICAL CARE ROANOKE VALLEY DIALYSIS, LLC
Organization
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)404 MCCLANAHAN ST SW
ROANOKE, VA 24014
(540) 342-5514

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619071487, enumerated in the NPI registry as an "organization" on September 12, 2006

The provider is located at 404 Mcclanahan St Sw Roanoke, Va 24014 and the phone number is (540) 342-5514

This medical organization specializes in Clinic/Center with taxonomy code 261QE0700X with a focus in End-Stage Renal Disease (ESRD) Treatment

The provider's CLIA number is 49D2031356 for a "end stage renal disease dialysis facility" 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 September 12, 2006. 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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