LIFE CLINIC MEDICAL, PA
NPI 1942546692
Internal Medicine in St Louis Park, MN

NPI Status: Active since December 28, 2012

Contact Information

5525 CEDAR LAKE RD S
ST LOUIS PARK, MN
ZIP 55416
Phone: (866) 240-8437
Fax: (866) 240-9836

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  • Organization
  • Internal Medicine

About LIFE CLINIC MEDICAL, PA

This page provides the complete NPI Profile along with additional information for Life Clinic Medical, Pa, an internist established in St Louis Park, Minnesota operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1942546692 assigned on December 2012. The practitioner's primary taxonomy code is 207R00000X with license number 1865 (MN). The provider is registered as an organization and their NPI record was last updated 12 years ago. Life Clinic Medical, Pa 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 Dr. Kambiz Farbakhsh M.d. (Owner/ Founder)

NPI
1942546692
Provider Name
LIFE CLINIC MEDICAL, PA
Entity Type
Organization
Location Address
5525 CEDAR LAKE RD S ST LOUIS PARK, MN 55416
Location Phone
(866) 240-8437
Location Fax
(866) 240-9836
Mailing Address
2902 CORPORATE PL CORPORATE CHANHASSEN, MN 55317
Mailing Phone
(866) 240-8437
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-28-2012
Last Update Date
05-17-2013
Code Navigator

An internist like Life Clinic Medical, Pa is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
1865
License State
MN
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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

DR. KAMBIZ FARBAKHSH M.D.

Authorized Official Title
OWNER/ FOUNDER
Authorized Official Phone
(866) 240-8437

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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.
1942546692
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
298210412618
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 8 + 2 + 1 + 0 + 4 + 1 + 2 + 6 + 1 + 8 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1942546692 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 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1144413832DR. CHRISTOPHER CHARLES LAUER D.C.
Individual
Chiropractor5525 CEDAR LAKE RD S
ST LOUIS PARK, MN 55416
(952) 541-7171
1356751523LIFECLINIC REHABILITATION AND CHIROPRACTIC
Organization
Chiropractor5525 CEDAR LAKE RD S
ST LOUIS PARK, MN 55416
(952) 546-5474
1790195774DR. NICHOLAS NOVAKOSKI D.C.
Individual
Student in an Organized Health Care Education/Training Program5525 CEDAR LAKE RD S
ST LOUIS PARK, MN 55416
(952) 546-5474
1861471666 JENNIFER L MEARS RN, CNP
Individual
Nurse Practitioner (Family)5525 CEDAR LAKE RD S
ST LOUIS PARK, MN 55416
(952) 541-7157
1922416064LIFECLINIC PA
Organization
Chiropractor (Rehabilitation)5525 CEDAR LAKE RD S
ST LOUIS PARK, MN 55416
(952) 229-7901
1023296167LIFE CLINIC, P.A.
Organization
Chiropractor (Rehabilitation)5525 CEDAR LAKE RD S
ST LOUIS PARK, MN 55416
(651) 690-0866
1669851986 THOMAS KLUSMANN
Individual
Physical Therapy Assistant5525 CEDAR LAKE RD S
ST LOUIS PARK, MN 55416
(952) 541-7171
1659666931 JOSIAH LEE THUNSHELLE PT
Individual
Physical Therapist5525 CEDAR LAKE RD S
ST LOUIS PARK, MN 55416
(701) 391-4084
1629683180 NATHANIEL ARTHUR MURRAY PT, DPT, MS
Individual
Physical Therapist5525 CEDAR LAKE RD S
ST LOUIS PARK, MN 55416
(952) 541-7171
1144790866MRS. ASHLEY MARIE WILSON PA-C
Individual
Physician Assistant5525 CEDAR LAKE RD S
ST LOUIS PARK, MN 55416
(952) 541-7157
1447994736 CONNIE MARIE BRENNAN APRN, AGNP-BC, PHN
Individual
Nurse Practitioner (Gerontology)5525 CEDAR LAKE RD S
ST LOUIS PARK, MN 55416
(952) 541-7127
1063090728DR. EMILY ASCHENBRENNER DC
Individual
Chiropractor5525 CEDAR LAKE RD S
ST LOUIS PARK, MN 55416
(952) 541-7171

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942546692, enumerated in the NPI registry as an "organization" on December 28, 2012

The provider is located at 5525 Cedar Lake Rd S St Louis Park, Mn 55416 and the phone number is (866) 240-8437

This medical organization specializes in Internal Medicine with taxonomy code 207R00000X

This NPI record was last updated on December 28, 2012. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.