COMPLETE CARE SOUTHLAKE
NPI 1174937668
Clinic/Center - Emergency Care in Southlake, TX
NPI Status: Active since June 12, 2014
Contact Information
321 W SOUTHLAKE BLVD STE 140
SOUTHLAKE, TX
ZIP 76092
Phone: (817) 421-0034
Fax: (817) 421-0036
- Organization
- Clinic/Center
- Emergency Care
- CLIA Number: 45D2082398
- CLIA Cert. Type: Other - FREESTANDING ER
- CLIA Exp. Date: 07-21-2026
About COMPLETE CARE SOUTHLAKE
This page provides the complete NPI Profile along with additional information for Complete Care Southlake, a provider established in Southlake, Texas operating as a Clinic/center, focusing in emergency care . The healthcare provider is registered in the NPI registry with number 1174937668 assigned on June 2014. The practitioner's primary taxonomy code is 261QE0002X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Complete Care Southlake. The authorized official of this NPI record is John Neiman Jd (General Counsel)
- NPI
- 1174937668
- Provider Legal Name
- COMPLETE EMERGENCY CARE SOUTHLAKE LLC
- Other Organization Name
- COMPLETE CARE SOUTHLAKE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 321 W SOUTHLAKE BLVD STE 140 SOUTHLAKE, TX 76092
- Location Phone
- (817) 421-0034
- Location Fax
- (817) 421-0036
- Mailing Address
- PO BOX 93806 SOUTHLAKE, TX 76092
- Mailing Phone
- (817) 421-0034
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-12-2014
- Last Update Date
- 03-19-2024
- 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 Emergency Care
- Taxonomy Code
- 261QE0002X
- Type
- Ambulatory Health Care Facilities
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
- 45D2082398
- Facility Type
- Other - FREESTANDING ER
- Certificate Effective Date
- July 22, 2024
- Certificate Expiration Date
- July 21, 2026
- Laboratory Director
- JEFFREY S. PEEBLES
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Complete Care Southlake 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 1174937668, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
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 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
SOUTHLAKE, TX 76092
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174937668, enumerated as an "organization" on June 12, 2014.
The provider is located at 321 W SOUTHLAKE BLVD STE 140 SOUTHLAKE, TX 76092 and the phone number is (817) 421-0034.
Clinic/Center with taxonomy code 261QE0002X and a focus in Emergency Care.
