KEYSTONE KIDNEY CENTER
NPI 1083898787
Clinic/Center - Ambulatory Surgical in Willow Grove, PA
NPI Status: Active since December 18, 2007
Contact Information
2701 BLAIR MILL RD
STE. 30
WILLOW GROVE, PA
ZIP 19090
Phone: (215) 675-9900
Fax: (215) 675-4096
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 39D2158025
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-26-2027
About KEYSTONE KIDNEY CENTER
This page provides the complete NPI Profile along with additional information for Keystone Kidney Center, a provider established in Willow Grove, Pennsylvania operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1083898787 assigned on December 2007. The practitioner's primary taxonomy code is 261QA1903X with license number 15331501 (PA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Keystone Kidney Center. The authorized official of this NPI record is Mr. Michael A Dernoga (Exec. Director)
- NPI
- 1083898787
- Provider Legal Name
- KEYSTONE MOBILE PARTNERS, LP
- Other Organization Name
- KEYSTONE KIDNEY CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2701 BLAIR MILL RD STE. 30 WILLOW GROVE, PA 19090
- Location Phone
- (215) 675-9900
- Location Fax
- (215) 675-4096
- Mailing Address
- 2701 BLAIR MILL RD STE. 30 WILLOW GROVE, PA 19090
- Mailing Phone
- (215) 675-9900
- Mailing Fax
- (215) 675-4096
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-18-2007
- Last Update Date
- 12-18-2007
- 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 Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
- License No.
- 15331501
- License State
- PA
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
- 39D2158025
- Facility Type
- Physician Office
- Certificate Effective Date
- February 27, 2025
- Certificate Expiration Date
- February 26, 2027
- Laboratory Director
- DR. CLIFFORD S. PERLIS
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Keystone Kidney Center after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that 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 1083898787, we treat the final digit (7) 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 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).
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 73 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
WILLOW GROVE, PA 19090
WILLOW GROVE, PA 19090
WILLOW GROVE, PA 19090
WILLOW GROVE, PA 19090
WILLOW GROVE, PA 19090
WILLOW GROVE, PA 19090
WILLOW GROVE, PA 19090
WILLOW GROVE, PA 19090
WILLOW GROVE, PA 19090
WILLOW GROVE, PA 19090
WILLOW GROVE, PA 19090
WILLOW GROVE, PA 19090
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083898787, enumerated as an "organization" on December 18, 2007.
The provider is located at 2701 BLAIR MILL RD STE. 30 WILLOW GROVE, PA 19090 and the phone number is (215) 675-9900.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
