VIBRANT DIAGNOSTICS LLC
NPI 1962133272
Clinic/Center in Florence, SC

NPI Status: Active since June 19, 2022

Contact Information

514 2ND LOOP RD STE D
FLORENCE, SC
ZIP 29505
Phone: (843) 373-8284

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  • Organization
  • Clinic/Center
  • CLIA Number: 42D2263284
  • CLIA Cert. Type: Other - DIAGNOSTIC TESTING LAB
  • CLIA Exp. Date: 06-26-2026

About VIBRANT DIAGNOSTICS LLC

This page provides the complete NPI Profile along with additional information for Vibrant Diagnostics Llc, a provider established in Florence, South Carolina operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1962133272 assigned on June 2022. The practitioner's primary taxonomy code is 261Q00000X. 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 Shiandra Keyata Davis (Owner)

NPI
1962133272
Provider Name
VIBRANT DIAGNOSTICS LLC
Entity Type
Organization
Location Address
514 2ND LOOP RD STE D FLORENCE, SC 29505
Location Phone
(843) 373-8284
Mailing Address
108 TIMBERLAKE DR FLORENCE, SC 29501
Mailing Phone
(843) 373-8284
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-19-2022
Last Update Date
06-19-2022
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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

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).

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

SHIANDRA KEYATA DAVIS

Authorized Official Title
OWNER
Authorized Official Phone
(843) 373-8284

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
42D2263284
Facility Type
Other - DIAGNOSTIC TESTING LAB
Certificate Effective Date
June 27, 2024
Certificate Expiration Date
June 26, 2026
Laboratory Director
MS. SHIANDRA K. DAVIS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Vibrant Diagnostics 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.
1962133272
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29122236214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 2 + 3 + 6 + 2 + 1 + 4 + 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 = 22

The NPI number 1962133272 is valid because the calculated check digit 2 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 1962133272, enumerated in the NPI registry as an "organization" on June 19, 2022

The provider is located at 514 2nd Loop Rd Ste D Florence, Sc 29505 and the phone number is (843) 373-8284

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

The provider's CLIA number is 42D2263284 for a "other - diagnostic testing lab" 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 June 19, 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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