LIFE CONNECT FOUNDATION INC
NPI 1881207900
Clinic/Center in Lauderdale Lakes, FL
NPI Status: Active since August 28, 2020
Contact Information
3001 NW 49TH AVE STE 308
LAUDERDALE LAKES, FL
ZIP 33313
Phone: (954) 391-7319
- Organization
- Clinic/Center
- CLIA Number: 10D2207315
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 12-27-2026
About LIFE CONNECT FOUNDATION INC
This page provides the complete NPI Profile along with additional information for Life Connect Foundation Inc, a provider established in Lauderdale Lakes, Florida operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1881207900 assigned on August 2020. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Macdaline Sanz (President)
- NPI
- 1881207900
- Provider Name
- LIFE CONNECT FOUNDATION INC
- Entity Type
- Organization
- Location Address
- 3001 NW 49TH AVE STE 308 LAUDERDALE LAKES, FL 33313
- Location Phone
- (954) 391-7319
- Mailing Address
- 3001 NW 49TH AVE STE 308 LAUDERDALE LAKES, FL 33313
- Mailing Phone
- (954) 391-7319
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-28-2020
- Last Update Date
- 08-21-2023
- 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).
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 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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
- 10D2207315
- Facility Type
- Community Clinic
- Certificate Effective Date
- December 28, 2024
- Certificate Expiration Date
- December 27, 2026
- Laboratory Director
- KUMAR RAJAGOPALAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Life Connect Foundation 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 | 8 | 8 | 1 | 2 | 0 | 7 | 9 | 0 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 16 | 1 | 4 | 0 | 14 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 6 + 1 + 4 + 0 + 1 + 4 + 9 + 0 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1881207900 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 |
|---|---|---|---|
| 1265216311 | ANGIEK LLC Organization | Internal Medicine (Pulmonary Disease) | 3001 NW 49TH AVE STE 308 LAUDERDALE LAKES, FL 33313 (954) 297-6694 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881207900, enumerated in the NPI registry as an "organization" on August 28, 2020
The provider is located at 3001 Nw 49th Ave Ste 308 Lauderdale Lakes, Fl 33313 and the phone number is (954) 391-7319
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
The provider's CLIA number is 10D2207315 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 August 28, 2020. 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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