INTERVENTIONAL DIABETES CENTER, LLC
NPI 1649747825
Clinic/Center in Lexington, MS
NPI Status: Active since October 25, 2018
Contact Information
20735 HIGHWAY 12
LEXINGTON, MS
ZIP 39095
Phone: (601) 594-7346
- Organization
- Clinic/Center
- Accepts Insurance
- CLIA Number: 25D2223604
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-06-2025
About INTERVENTIONAL DIABETES CENTER, LLC
This page provides the complete NPI Profile along with additional information for Interventional Diabetes Center, Llc, a provider established in Lexington, Mississippi operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1649747825 assigned on October 2018. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated May 2025. The authorized official of this NPI record is Maurice Hampton (Owner)
- NPI
- 1649747825
- Provider Name
- INTERVENTIONAL DIABETES CENTER, LLC
- Entity Type
- Organization
- Location Address
- 20735 HIGHWAY 12 LEXINGTON, MS 39095
- Location Phone
- (601) 594-7346
- Mailing Address
- 20735 HIGHWAY 12 LEXINGTON, MS 39095
- Mailing Phone
- (901) 791-1711
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-25-2018
- Last Update Date
- 05-06-2025
- 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
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 25D2223604
- Facility Type
- Physician Office
- Certificate Effective Date
- May 07, 2023
- Certificate Expiration Date
- May 06, 2025
- Laboratory Director
- DR. ABDUL BAHRO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Interventional Diabetes Center, 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.
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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 | 4 | 9 | 7 | 4 | 7 | 8 | 2 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 8 | 9 | 14 | 4 | 14 | 8 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 8 + 9 + 1 + 4 + 4 + 1 + 4 + 8 + 4 + 24 = 75 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 75 = 5 | 5 | ||||||||
The NPI number 1649747825 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 1649747825, enumerated in the NPI registry as an "organization" on October 25, 2018
The provider is located at 20735 Highway 12 Lexington, Ms 39095 and the phone number is (601) 594-7346
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 25D2223604 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 October 25, 2018. 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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