REVELLO MEDICAL CENTER
NPI 1144522988
Clinic/Center in Tampa, FL
NPI Status: Active since November 30, 2010
Contact Information
2601 N HIMES AVE
TAMPA, FL
ZIP 33607
Phone: (813) 873-8071
Fax: (813) 877-4031
- Organization
- Clinic/Center
- CLIA Number: 10D2104991
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-16-2025
About REVELLO MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Revello Medical Center, a provider established in Tampa, Florida operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1144522988 assigned on November 2010. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Revello Medical Center. The authorized official of this NPI record is Antonio Calvo (Chief Operations Officer)
- NPI
- 1144522988
- Provider Legal Name
- WEST TAMPA MEDICAL GROUP,LLC
- Other Organization Name
- REVELLO MEDICAL CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2601 N HIMES AVE TAMPA, FL 33607
- Location Phone
- (813) 873-8071
- Location Fax
- (813) 877-4031
- Mailing Address
- 5901 WEBB RD TAMPA, FL 33615
- Mailing Phone
- (813) 888-8215
- Mailing Fax
- (813) 877-4031
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-30-2010
- Last Update Date
- 12-17-2024
- 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
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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
- 10D2104991
- Facility Type
- Physician Office
- Certificate Effective Date
- November 17, 2023
- Certificate Expiration Date
- November 16, 2025
- Laboratory Director
- PATRICIA REVELLO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Revello Medical Center 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.
Reviews for REVELLO MEDICAL CENTER
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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 | 4 | 4 | 5 | 2 | 2 | 9 | 8 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 8 | 4 | 10 | 2 | 4 | 9 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 8 + 4 + 1 + 0 + 2 + 4 + 9 + 1 + 6 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1144522988 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
LIBERTY GROUP REHAB SERVICES INC
Clinic/Center
2601 N HIMES AVE
SUITE C
TAMPA, FL
ZIP 33607
ZOILAMIS GUTIERREZ CANDELARIO NP-C
Nurse Practitioner
(Family)
2601 N HIMES AVE
TAMPA, FL
ZIP 33607
MR. JOSE M GARCIA M.D.
Family Medicine
2601 N HIMES AVE
TAMPA, FL
ZIP 33607
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144522988, enumerated as an "organization" on November 30, 2010.
The provider is located at 2601 N HIMES AVE TAMPA, FL 33607 and the phone number is (813) 873-8071.
Clinic/Center with taxonomy code 261Q00000X.
