COMPLETE EMERGENCY CARE TYLER LLC
NPI 1124486857
Clinic/Center - Emergency Care in Tyler, TX
NPI Status: Active since February 09, 2016
Contact Information
1809 CAPITAL DR
TYLER, TX
ZIP 75701
Phone: (817) 421-0034
Fax: (817) 421-0036
- Organization
- Clinic/Center
- Emergency Care
- Accepts Insurance
- CLIA Number: 45D2107705
- CLIA Cert. Type: Other - FREE STANDING ER
- CLIA Exp. Date: 01-04-2026
About COMPLETE EMERGENCY CARE TYLER LLC
This page provides the complete NPI Profile along with additional information for Complete Emergency Care Tyler Llc, a provider established in Tyler, Texas operating as a Clinic/center, focusing in emergency care . The healthcare provider is registered in the NPI registry with number 1124486857 assigned on February 2016. 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 authorized official of this NPI record is John Braxton Neiman Esq. (General Counsel)
- NPI
- 1124486857
- Provider Name
- COMPLETE EMERGENCY CARE TYLER LLC
- Entity Type
- Organization
- Location Address
- 1809 CAPITAL DR TYLER, TX 75701
- Location Phone
- (817) 421-0034
- Location Fax
- (817) 421-0036
- Mailing Address
- PO BOX 93108 SOUTHLAKE, TX 76092
- Mailing Phone
- (817) 421-0034
- Mailing Fax
- (817) 421-0036
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-09-2016
- Last Update Date
- 04-08-2025
- 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
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 45D2107705
- Facility Type
- Other - FREE STANDING ER
- Certificate Effective Date
- January 05, 2024
- Certificate Expiration Date
- January 04, 2026
- Laboratory Director
- BRAD D. ROBERTSON
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Complete Emergency Care Tyler Llc 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 1124486857, 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 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 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
TYLER, TX 75701
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124486857, enumerated as an "organization" on February 09, 2016.
The provider is located at 1809 CAPITAL DR TYLER, TX 75701 and the phone number is (817) 421-0034.
Clinic/Center with taxonomy code 261QE0002X and a focus in Emergency Care.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to verify.
