BLAQOUT, INC.
NPI 1750072849
Clinic/Center - Community Health in Kansas City, MO
NPI Status: Active since May 18, 2023
Contact Information
517 CAMPBELL ST
KANSAS CITY, MO
ZIP 64106
Phone: (816) 866-0355
- Organization
- Clinic/Center
- Community Health
- CLIA Number: 26D2240659
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 10-20-2025
About BLAQOUT, INC.
This page provides the complete NPI Profile along with additional information for Blaqout, Inc., a primary care provider established in Kansas City, Missouri operating as a Clinic/center, focusing in community health . The healthcare provider is registered in the NPI registry with number 1750072849 assigned on May 2023. The practitioner's primary taxonomy code is 261QC1500X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Blaqout, Inc. 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 D. Rashaan Gilmore (Founder/ceo)
- NPI
- 1750072849
- Provider Name
- BLAQOUT, INC.
- Entity Type
- Organization
- Location Address
- 517 CAMPBELL ST KANSAS CITY, MO 64106
- Location Phone
- (816) 866-0355
- Mailing Address
- 517 CAMPBELL ST KANSAS CITY, MO 64106
- Mailing Phone
- (816) 866-0355
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-18-2023
- Last Update Date
- 05-18-2023
- Code Navigator
A primary care provider (PCP) like Blaqout, Inc. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Secondary Locations
- 3601 Main St
Kansas City, MO 64111
(816) 866-0355
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 Community Health
- Taxonomy Code
- 261QC1500X
- Type
- Ambulatory Health Care Facilities
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) |
|---|---|---|---|---|
| 1 | 207QA0505X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 2 | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | |
| 3 | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center |
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.
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
- 26D2240659
- Facility Type
- Community Clinic
- Certificate Effective Date
- October 21, 2023
- Certificate Expiration Date
- October 20, 2025
- Laboratory Director
- ANUBHAV KIDAMBI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Blaqout, Inc. 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 | 7 | 5 | 0 | 0 | 7 | 2 | 8 | 4 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 0 | 7 | 4 | 8 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 0 + 7 + 4 + 8 + 8 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1750072849 is valid because the calculated check digit 9 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 1750072849, enumerated in the NPI registry as an "organization" on May 18, 2023
The provider is located at 517 Campbell St Kansas City, Mo 64106 and the phone number is (816) 866-0355
This medical organization specializes in Clinic/Center with taxonomy code 261QC1500X with a focus in Community Health
The provider's CLIA number is 26D2240659 for a "community clinic" 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 May 18, 2023. 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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