CCA CATH LAB LLC
NPI 1740613116
Internal Medicine - Cardiovascular Disease in Amarillo, TX

NPI Status: Active since August 20, 2013

Contact Information

6200 W I 40
SUITE 200
AMARILLO, TX
ZIP 79106
Phone: (806) 354-9764
Fax: (806) 354-2728

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  • Organization
  • Internal Medicine
  • Cardiovascular Disease
  • Accepts Insurance
  • CLIA Number: 45D1034925
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-21-2026

About CCA CATH LAB LLC

This page provides the complete NPI Profile along with additional information for Cca Cath Lab Llc, an internist established in Amarillo, Texas operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1740613116 assigned on August 2013. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. Cca Cath Lab Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Don Thompson (Office Manager)

NPI
1740613116
Provider Name
CCA CATH LAB LLC
Entity Type
Organization
Location Address
6200 W I 40 SUITE 200 AMARILLO, TX 79106
Location Phone
(806) 354-9764
Location Fax
(806) 354-2728
Mailing Address
6200 W I 40 SUITE 200 AMARILLO, TX 79106
Mailing Phone
(806) 354-9764
Mailing Fax
(806) 354-2728
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-20-2013
Last Update Date
08-20-2013
Code Navigator

An internist like Cca Cath Lab Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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

Internal Medicine Cardiovascular Disease

Taxonomy Code
207RC0000X
Type
Allopathic & Osteopathic Physicians
License State
TX
Taxonomy Description
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Blue Advantage Plus Gold? 803 - POS
  • Blue Advantage Plus Gold? Standard - POS
  • Blue Advantage Plus Silver? 202 - POS
  • Blue Advantage Plus Silver? 605 - POS
  • Blue Advantage Plus Silver? Standard - POS
  • Blue Advantage Security HMO? 200 - HMO
  • Blue Advantage Silver HMO? 205 - HMO
  • Blue Advantage Silver HMO? 801 - HMO
  • Blue Advantage Silver HMO? Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

DON THOMPSON

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(806) 354-9764

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
45D1034925
Facility Type
Physician Office
Certificate Effective Date
June 22, 2024
Certificate Expiration Date
June 21, 2026
Laboratory Director
DR. DAVID BRABHAM
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cca Cath Lab 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 CCA CATH LAB 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.
1740613116
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2780121612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 8 + 0 + 1 + 2 + 1 + 6 + 1 + 2 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1740613116 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1962860304CCA ASC, LLC
Organization
Clinic/Center (Ambulatory Surgical)6200 W I 40
AMARILLO, TX 79106
(806) 354-9764
1457658379MR. THOMAS WAYNE CROWELL NP-C
Individual
Nurse Practitioner (Family)6200 W I 40
AMARILLO, TX 79106
(806) 354-9764
1386056596 RUSTIN BAKER MSN, NP-C
Individual
Nurse Practitioner (Family)6200 W I 40
AMARILLO, TX 79106
(806) 354-9764
1386199008SPEED AVIATION INC.
Organization
Ambulance (Air Transport)6200 W I 40
AMARILLO, TX 79106
(806) 236-9687
1831717024 BRITTANY JOHNSON FNP-C
Individual
Nurse Practitioner (Family)6200 W I 40
AMARILLO, TX 79106
(806) 354-9764
1033795752 DARCI CRAWFORD NP-C
Individual
Nurse Practitioner6200 W I 40
AMARILLO, TX 79106
(806) 354-9764
1417113945DR. ALEXANDER WOOLF ARMOUR D.O
Individual
Internal Medicine (Interventional Cardiology)6200 W I 40
AMARILLO, TX 79106
(806) 354-9764
1164138830 TOMAS TROBLY MYERS PA
Individual
Physician Assistant6200 W I 40
AMARILLO, TX 79106
(806) 354-9764
1376598771CARDIOLOGY CENTER OF AMARILLO
Organization
Internal Medicine (Cardiovascular Disease)6200 W I 40
AMARILLO, TX 79106
(806) 354-9764
1043733793MRS. BRENDA NICOLE STODDARD NP-C
Individual
Nurse Practitioner (Family)6200 W I 40
AMARILLO, TX 79106
(806) 354-9764

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740613116, enumerated in the NPI registry as an "organization" on August 20, 2013

The provider is located at 6200 W I 40 Suite 200 Amarillo, Tx 79106 and the phone number is (806) 354-9764

This medical organization specializes in Internal Medicine with taxonomy code 207RC0000X with a focus in Cardiovascular Disease

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 45D1034925 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 August 20, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.