SOS MOBILE MEDICAL CARE LLC
NPI 1770239162
Clinic/Center - Primary Care in Odessa, FL
NPI Status: Active since February 24, 2022
Contact Information
16025 MUIRFIELD DR
ODESSA, FL
ZIP 33556
Phone: (813) 226-3332
Fax: (813) 793-7644
- Organization
- Clinic/Center
- Primary Care
- CLIA Number: 10D2195952
- CLIA Cert. Type: Other - MOBILE PRIMARY CARE
- CLIA Exp. Date: 07-08-2026
About SOS MOBILE MEDICAL CARE LLC
This page provides the complete NPI Profile along with additional information for Sos Mobile Medical Care Llc, a primary care provider established in Odessa, Florida operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1770239162 assigned on February 2022. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Mr. Joshua Edward Kolanko Np (Owner/nurse Practitioner)
- NPI
- 1770239162
- Provider Name
- SOS MOBILE MEDICAL CARE LLC
- Entity Type
- Organization
- Location Address
- 16025 MUIRFIELD DR ODESSA, FL 33556
- Location Phone
- (813) 226-3332
- Location Fax
- (813) 793-7644
- Mailing Address
- PO BOX 22 ODESSA, FL 33556
- Mailing Phone
- (813) 226-3332
- Mailing Fax
- (813) 793-7644
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-24-2022
- Last Update Date
- 02-24-2022
- Code Navigator
A primary care provider (PCP) like Sos Mobile Medical Care Llc 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
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 Primary Care
- Taxonomy Code
- 261QP2300X
- 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 | 261QU0200X | Ambulatory Health Care Facilities | Clinic/Center |
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
- 10D2195952
- Facility Type
- Other - MOBILE PRIMARY CARE
- Certificate Effective Date
- July 09, 2024
- Certificate Expiration Date
- July 08, 2026
- Laboratory Director
- DR. RODERICK BENNETT
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Sos Mobile Medical Care Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 | 7 | 0 | 2 | 3 | 9 | 1 | 6 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 14 | 0 | 4 | 3 | 18 | 1 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 4 + 0 + 4 + 3 + 1 + 8 + 1 + 1 + 2 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1770239162 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1689858086 | STEPHANIE ANN KOLANKO OTR/L Individual | Occupational Therapist | 16025 MUIRFIELD DR ODESSA, FL 33556 (304) 374-1252 |
| 1003405077 | KAYLA MARIE KOLANKO PA-C Individual | Physician Assistant | 16025 MUIRFIELD DR ODESSA, FL 33556 (304) 374-1049 |
| 1821086745 | JOSHUA E KOLANKO C-FNP Individual | Nurse Practitioner | 16025 MUIRFIELD DR ODESSA, FL 33556 (813) 226-3332 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770239162, enumerated in the NPI registry as an "organization" on February 24, 2022
The provider is located at 16025 Muirfield Dr Odessa, Fl 33556 and the phone number is (813) 226-3332
This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care
The provider's CLIA number is 10D2195952 for a "other - mobile primary care" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on February 24, 2022. 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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