MEDICAL CITY ARLINGTON
NPI 1114107604
Clinic/Center - Multi-Specialty in Arlington, TX

NPI Status: Active since November 13, 2007

Contact Information

3301 MATLOCK RD
ARLINGTON, TX
ZIP 76015
Phone: (817) 465-3241
Fax: (817) 472-4878

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • CLIA Number: 45D1022007
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 01-03-2028

About MEDICAL CITY ARLINGTON

This page provides the complete NPI Profile along with additional information for Medical City Arlington, a provider established in Arlington, Texas operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1114107604 assigned on November 2007. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Medical City Arlington. The authorized official of this NPI record is Jeff Ardemagni (Cfo)

NPI
1114107604
Provider Legal Name
COLUMBIA MEDICAL CENTER OF ARLINGTON SUBSIDIARY LP
Other Organization Name
MEDICAL CITY ARLINGTON
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3301 MATLOCK RD ARLINGTON, TX 76015
Location Phone
(817) 465-3241
Location Fax
(817) 472-4878
Mailing Address
3301 MATLOCK RD ARLINGTON, TX 76015
Mailing Phone
(817) 472-4909
Mailing Fax
(817) 472-4878
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-13-2007
Last Update Date
11-15-2016
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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 Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

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

JEFF ARDEMAGNI

Authorized Official Title
CFO
Authorized Official Phone
(817) 472-4909

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
45D1022007
Facility Type
Hospital
Certificate Effective Date
January 04, 2026
Certificate Expiration Date
January 03, 2028
Laboratory Director
DR. ROHINI C. KRISHNAN
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Medical City Arlington 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 1114107604, we treat the final digit (4) 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 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
6
Unchanged
Pos 9
0
Doubled → 0
Check
4
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 1 → 2 1 → 2 7 → 14 → 5 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 2 + 4 + 2 + 0 + 1 + 4 + 6 + 0 + 24 = 46

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1114107604.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine
3301 MATLOCK RD
ARLINGTON, TX 76015
Emergency Medicine
3301 MATLOCK RD
ARLINGTON, TX 76015
Emergency Medicine
3301 MATLOCK RD
ARLINGTON, TX 76015
Emergency Medicine
3301 MATLOCK RD
ARLINGTON, TX 76015
Emergency Medicine
3301 MATLOCK RD
ARLINGTON, TX 76015
Emergency Medicine
3301 MATLOCK RD
ARLINGTON, TX 76015
Emergency Medicine
3301 MATLOCK RD
ARLINGTON, TX 76015
Emergency Medicine
3301 MATLOCK RD
ARLINGTON, TX 76015
Emergency Medicine
3301 MATLOCK RD
ARLINGTON, TX 76015
Nurse Practitioner
3301 MATLOCK RD
ARLINGTON, TX 76015
Speech-Language Pathologist
3301 MATLOCK RD
ARLINGTON, TX 76015
Nurse Practitioner
3301 MATLOCK RD
ARLINGTON, TX 76015
Physician Assistant
3301 MATLOCK RD
ARLINGTON, TX 76015
Nurse Practitioner (Acute Care)
3301 MATLOCK RD
ARLINGTON, TX 76015
Clinic/Center (Ambulatory Surgical)
3301 MATLOCK RD
ARLINGTON, TX 76015
Speech-Language Pathologist
3301 MATLOCK RD
ARLINGTON, TX 76015
Emergency Medicine
3301 MATLOCK RD
ARLINGTON, TX 76015
Pathology (Anatomic Pathology & Clinical Pathology)
3301 MATLOCK RD
ARLINGTON, TX 76015
Internal Medicine
3301 MATLOCK RD
ARLINGTON, TX 76015
Hospitalist
3301 MATLOCK RD
ARLINGTON, TX 76015

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114107604, enumerated as an "organization" on November 13, 2007.

The provider is located at 3301 MATLOCK RD ARLINGTON, TX 76015 and the phone number is (817) 465-3241.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.