TRIDENT MEDICAL CENTER, LLC
NPI 1063813111
Clinic/Center - Emergency Care in North Charleston, SC
NPI Status: Active since September 09, 2014
Contact Information
5249 EMMETT I. DAVIS JR. AVENUE
NORTH CHARLESTON, SC
ZIP 29405
Phone: (843) 746-2400
Fax: (843) 744-9700
- Organization
- Clinic/Center
- Emergency Care
- CLIA Number: 42D2085329
- CLIA Cert. Type: Ancillary Testing Site in Health Care Center
- CLIA Exp. Date: 09-29-2027
About TRIDENT MEDICAL CENTER, LLC
This page provides the complete NPI Profile along with additional information for Trident Medical Center, Llc, a provider established in North Charleston, South Carolina operating as a Clinic/center, focusing in emergency care . The healthcare provider is registered in the NPI registry with number 1063813111 assigned on September 2014. The practitioner's primary taxonomy code is 261QE0002X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's
- NPI
- 1063813111
- Provider Legal Name
- TRIDENT MEDICAL CENTER, LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 5249 EMMETT I. DAVIS JR. AVENUE NORTH CHARLESTON, SC 29405
- Location Phone
- (843) 746-2400
- Location Fax
- (843) 744-9700
- Mailing Address
- 5249 EMMETT I. DAVIS JR. AVENUE NORTH CHARLESTON, SC 29405
- Mailing Phone
- (843) 746-2400
- Mailing Fax
- (843) 744-9700
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-09-2014
- Last Update Date
- 10-01-2025
- 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 Emergency Care
- Taxonomy Code
- 261QE0002X
- Type
- Ambulatory Health Care Facilities
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
- 42D2085329
- Facility Type
- Ancillary Testing Site in Health Care Center
- Certificate Effective Date
- September 30, 2025
- Certificate Expiration Date
- September 29, 2027
- Laboratory Director
- DR. JOSE D. ESPINAL-MARIOTTE
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Trident Medical Center, Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1063813111, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 49 is 50. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063813111, enumerated as an "organization" on September 09, 2014.
The provider is located at 5249 EMMETT I. DAVIS JR. AVENUE NORTH CHARLESTON, SC 29405 and the phone number is (843) 746-2400.
Clinic/Center with taxonomy code 261QE0002X and a focus in Emergency Care.
