BAE SYSTEMS AUSTIN TX
NPI 1639760085
Clinic/Center - Occupational Medicine in Austin, TX
NPI Status: Active since January 28, 2021
Contact Information
6500 TRACOR LN
AUSTIN, TX
ZIP 78725
Phone: (512) 929-2327
Fax: (512) 929-4990
- Organization
- Clinic/Center
- Occupational Medicine
- CLIA Number: 45D1065023
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-19-2027
About BAE SYSTEMS AUSTIN TX
This page provides the complete NPI Profile along with additional information for Bae Systems Austin Tx, a provider established in Austin, Texas operating as a Clinic/center, focusing in occupational medicine . The healthcare provider is registered in the NPI registry with number 1639760085 assigned on January 2021. The practitioner's primary taxonomy code is 261QX0100X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Bae Systems Austin Tx. The authorized official of this NPI record is Dr. Jon Leizman Md (President)
- NPI
- 1639760085
- Provider Legal Name
- PREMISE HEALTH OF TEXAS MEDICAL, P.A
- Other Organization Name
- BAE SYSTEMS AUSTIN TX
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 6500 TRACOR LN AUSTIN, TX 78725
- Location Phone
- (512) 929-2327
- Location Fax
- (512) 929-4990
- Mailing Address
- 5500 MARYLAND WAY STE 120 BRENTWOOD, TN 37027
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-28-2021
- Last Update Date
- 08-23-2022
- 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
Clinic/Center Occupational Medicine
- Taxonomy Code
- 261QX0100X
- Type
- Ambulatory Health Care Facilities
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
- 45D1065023
- Facility Type
- Physician Office
- Certificate Effective Date
- February 20, 2025
- Certificate Expiration Date
- February 19, 2027
- Laboratory Director
- MIKE WILLOUGHBY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Bae Systems Austin Tx 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. | |||||||||
| 1 | 6 | 3 | 9 | 7 | 6 | 0 | 0 | 8 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 14 | 6 | 0 | 0 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 1 + 4 + 6 + 0 + 0 + 1 + 6 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1639760085 is valid because the calculated check digit 5 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 1639760085, enumerated in the NPI registry as an "organization" on January 28, 2021
The provider is located at 6500 Tracor Ln Austin, Tx 78725 and the phone number is (512) 929-2327
This medical organization specializes in Clinic/Center with taxonomy code 261QX0100X with a focus in Occupational Medicine
The provider's CLIA number is 45D1065023 for a "physician office" 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 January 28, 2021. 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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