ORLANDO 3 VA MOBILE CLINIC
NPI 1215684311
Clinic/Center - VA in Orlando, FL

NPI Status: Active since March 08, 2022

Contact Information

13800 VETERANS WAY
ORLANDO, FL
ZIP 32827
Phone: (866) 793-4591

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  • Organization
  • Clinic/Center
  • VA
  • CLIA Number: 10D2190678
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-31-2025

About ORLANDO 3 VA MOBILE CLINIC

This page provides the complete NPI Profile along with additional information for Orlando 3 Va Mobile Clinic, a provider established in Orlando, Florida operating as a Clinic/center, focusing in va . The healthcare provider is registered in the NPI registry with number 1215684311 assigned on March 2022. The practitioner's primary taxonomy code is 261QV0200X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's other name is Orlando 3 Va Mobile Clinic. The authorized official of this NPI record is Erin Denise Potter (Npi Team)

NPI
1215684311
Provider Legal Name
ORLANDO VAMC
Other Organization Name
ORLANDO 3 VA MOBILE CLINIC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
13800 VETERANS WAY ORLANDO, FL 32827
Location Phone
(866) 793-4591
Mailing Address
PO BOX 94471 CLEVELAND, OH 44101
Mailing Phone
(866) 793-4591
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-08-2022
Last Update Date
03-28-2023
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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 VA

Taxonomy Code
261QV0200X
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

ERIN DENISE POTTER

Authorized Official Title
NPI TEAM
Authorized Official Phone
(202) 382-2579

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
10D2190678
Facility Type
Physician Office
Certificate Effective Date
November 01, 2023
Certificate Expiration Date
October 31, 2025
Laboratory Director
ADRIAN K. AMBROSE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Orlando 3 Va Mobile Clinic 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 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 1215684311, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
2
Unchanged
Pos 3
1
Doubled → 2
Pos 4
5
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
8
Unchanged
Pos 7
4
Doubled → 8
Pos 8
3
Unchanged
Pos 9
1
Doubled → 2
Check
1
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 6 → 12 → 3 4 → 8 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 2 + 5 + 1 + 2 + 8 + 8 + 3 + 2 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1215684311.

Other Providers at the Same Location


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

Social Worker
13800 VETERANS WAY
ORLANDO, FL 32827
Social Worker (Clinical)
13800 VETERANS WAY
ORLANDO, FL 32827
Social Worker (Clinical)
13800 VETERANS WAY
ORLANDO, FL 32827
Internal Medicine (Rheumatology)
13800 VETERANS WAY
ORLANDO, FL 32827
Dietitian, Registered
13800 VETERANS WAY
ORLANDO, FL 32827
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
13800 VETERANS WAY
ORLANDO, FL 32827
Pharmacist
13800 VETERANS WAY
ORLANDO, FL 32827
Social Worker (Clinical)
13800 VETERANS WAY
ORLANDO, FL 32827
Student in an Organized Health Care Education/Training Program
13800 VETERANS WAY
ORLANDO, FL 32827
Pharmacist
13800 VETERANS WAY
ORLANDO, FL 32827
Occupational Therapist
13800 VETERANS WAY
ORLANDO, FL 32827
Respiratory Therapist, Registered
13800 VETERANS WAY
ORLANDO, FL 32827
Student in an Organized Health Care Education/Training Program
13800 VETERANS WAY
ORLANDO, FL 32827
Registered Nurse
13800 VETERANS WAY
ORLANDO, FL 32827
Registered Nurse
13800 VETERANS WAY, ORLANDO VETERANS AFFAIRS
ORLANDO, FL 32827
Clinic/Center (VA)
13800 VETERANS WAY
ORLANDO, FL 32827
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
13800 VETERANS WAY, PHARMACY DEPARTMENT (119)
ORLANDO, FL 32827
Audiologist
13800 VETERANS WAY
ORLANDO, FL 32827
Social Worker (Clinical)
13800 VETERANS WAY
ORLANDO, FL 32827
Social Worker (Clinical)
13800 VETERANS WAY
ORLANDO, FL 32827

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215684311, enumerated as an "organization" on March 08, 2022.

The provider is located at 13800 VETERANS WAY ORLANDO, FL 32827 and the phone number is (866) 793-4591.

Clinic/Center with taxonomy code 261QV0200X and a focus in VA.