AZ MEDICAL CENTER, LLC
NPI 1912548355
Clinic/Center - Physical Therapy in Tampa, FL

NPI Status: Active since October 07, 2019

Contact Information

3911 W WATERS AVE STE 13
TAMPA, FL
ZIP 33614
Phone: (813) 600-3118
Fax: (813) 333-1384

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  • Organization
  • Clinic/Center
  • Physical Therapy
  • CLIA Number: 10D2198398
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-01-2026

About AZ MEDICAL CENTER, LLC

This page provides the complete NPI Profile along with additional information for Az Medical Center, Llc, a provider established in Tampa, Florida operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1912548355 assigned on October 2019. The practitioner's primary taxonomy code is 261QP2000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Az Medical Center, 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 Natalia Lopez (Owner)

NPI
1912548355
Provider Name
AZ MEDICAL CENTER, LLC
Entity Type
Organization
Location Address
3911 W WATERS AVE STE 13 TAMPA, FL 33614
Location Phone
(813) 600-3118
Location Fax
(813) 333-1384
Mailing Address
3911 W WATERS AVE STE 13 TAMPA, FL 33614
Mailing Phone
(813) 600-3118
Mailing Fax
(813) 333-1384
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-07-2019
Last Update Date
11-11-2019
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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 Physical Therapy

Taxonomy Code
261QP2000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

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)
1111N00000XChiropractic Providers

Chiropractor

 
2207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
3208100000XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation

 

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.

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

NATALIA LOPEZ

Authorized Official Title
OWNER
Authorized Official Phone
(786) 877-4216

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
10D2198398
Facility Type
Physician Office
Certificate Effective Date
November 02, 2024
Certificate Expiration Date
November 01, 2026
Laboratory Director
VICTOR SILVA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Az Medical Center, 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.

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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.
1912548355
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
292210416310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 2 + 2 + 1 + 0 + 4 + 1 + 6 + 3 + 1 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1912548355 is valid because the calculated check digit 5 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 1912548355, enumerated in the NPI registry as an "organization" on October 07, 2019

The provider is located at 3911 W Waters Ave Ste 13 Tampa, Fl 33614 and the phone number is (813) 600-3118

This medical organization specializes in Clinic/Center with taxonomy code 261QP2000X with a focus in Physical Therapy

The provider's CLIA number is 10D2198398 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 October 07, 2019. 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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