CLAUDIS MARTIN MEDICAL CARE PLLC
NPI 1124652912
Clinic/Center - Medical Specialty in Conroe, TX
NPI Status: Active since March 02, 2020
Contact Information
15197 MOONLIGHT TRL
CONROE, TX
ZIP 77384
Phone: (832) 263-1300
Fax: (832) 909-0113
- Organization
- Clinic/Center
- Medical Specialty
- CLIA Number: 45D2238136
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 09-29-2025
About CLAUDIS MARTIN MEDICAL CARE PLLC
This page provides the complete NPI Profile along with additional information for Claudis Martin Medical Care Pllc, a provider established in Conroe, Texas operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1124652912 assigned on March 2020. The practitioner's primary taxonomy code is 261QM2500X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Ms. Stacey Perry (Office Manager)
- NPI
- 1124652912
- Provider Name
- CLAUDIS MARTIN MEDICAL CARE PLLC
- Entity Type
- Organization
- Location Address
- 15197 MOONLIGHT TRL CONROE, TX 77384
- Location Phone
- (832) 263-1300
- Location Fax
- (832) 909-0113
- Mailing Address
- 15197 MOONLIGHT TRL CONROE, TX 77384
- Mailing Phone
- (832) 263-1300
- Mailing Fax
- (832) 909-0113
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-02-2020
- Last Update Date
- 03-02-2020
- 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 Medical Specialty
- Taxonomy Code
- 261QM2500X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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
- 45D2238136
- Facility Type
- Practitioner Other
- Certificate Effective Date
- September 30, 2023
- Certificate Expiration Date
- September 29, 2025
- Laboratory Director
- BASIL Z. KHALAT
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Claudis Martin Medical Care Pllc 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. | |||||||||
| 1 | 1 | 2 | 4 | 6 | 5 | 2 | 9 | 1 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 4 | 4 | 12 | 5 | 4 | 9 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 4 + 4 + 1 + 2 + 5 + 4 + 9 + 2 + 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 = 2 | 2 | ||||||||
The NPI number 1124652912 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
MR. CLAUDIS ANDREW MARTIN FNP
Nurse Practitioner
(Family)
15197 MOONLIGHT TRL
CONROE, TX
ZIP 77384
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124652912, enumerated as an "organization" on March 02, 2020.
The provider is located at 15197 MOONLIGHT TRL CONROE, TX 77384 and the phone number is (832) 263-1300.
Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.
