ATHENIX BODY SCULPTING INSTITUTE
NPI 1801203310
Surgery - Plastic and Reconstructive Surgery in Bellevue, WA
NPI Status: Active since July 16, 2014
Contact Information
636 120TH AVE NE STE 202
BELLEVUE, WA
ZIP 98005
Phone: (425) 454-2410
Fax: (425) 454-2259
- Organization
- Surgery
- Plastic and Reconstructive Surgery
- CLIA Number: 50D2039119
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 04-04-2028
About ATHENIX BODY SCULPTING INSTITUTE
This page provides the complete NPI Profile along with additional information for Athenix Body Sculpting Institute, a provider established in Bellevue, Washington operating as a Surgery, focusing in plastic and reconstructive surgery . The healthcare provider is registered in the NPI registry with number 1801203310 assigned on July 2014. The practitioner's primary taxonomy code is 2086S0122X with license number MD 60033065 (WA). The provider is registered as an organization and their NPI record was last updated 11 years ago. Athenix Body Sculpting Institute operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Athenix Body Sculpting Institute. The authorized official of this NPI record is Mr. James Haefner (Administration)
- NPI
- 1801203310
- Provider Legal Name
- ATHENIX PHYSICIANS GROUP NORTHWEST, PLLC
- Other Organization Name
- ATHENIX BODY SCULPTING INSTITUTE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 636 120TH AVE NE STE 202 BELLEVUE, WA 98005
- Location Phone
- (425) 454-2410
- Location Fax
- (425) 454-2259
- Mailing Address
- 636 120TH AVE NE STE 202 BELLEVUE, WA 98005
- Mailing Phone
- (425) 454-2410
- Mailing Fax
- (425) 454-2259
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-16-2014
- Last Update Date
- 07-16-2014
- 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
Surgery Plastic and Reconstructive Surgery
- Taxonomy Code
- 2086S0122X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD 60033065
- License State
- WA
- Taxonomy Description
- A surgeon who specializes in plastic and reconstructive surgery.
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
- 50D2039119
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- April 02, 2012
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- GAVIN DRY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Athenix Body Sculpting Institute 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 | 8 | 0 | 1 | 2 | 0 | 3 | 3 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 0 | 1 | 4 | 0 | 6 | 3 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 0 + 1 + 4 + 0 + 6 + 3 + 2 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1801203310 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1578970117 | NORTHWEST SURGICAL DEVELOPMENT OF BELLEVUE LLC Organization | Clinic/Center (Ambulatory Surgical) | 636 120TH AVE NE STE 202 BELLEVUE, WA 98005 (425) 454-2410 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801203310, enumerated in the NPI registry as an "organization" on July 16, 2014
The provider is located at 636 120th Ave Ne Ste 202 Bellevue, Wa 98005 and the phone number is (425) 454-2410
This medical organization specializes in Surgery with taxonomy code 2086S0122X with a focus in Plastic and Reconstructive Surgery
The provider's CLIA number is 50D2039119 for a "ambulatory surgery center" 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 July 16, 2014. 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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