CORE WELLNESS CENTERS LLC
NPI 1215752670
Internal Medicine - Addiction Medicine in Philadelphia, PA
NPI Status: Active since November 20, 2024
Contact Information
2952 KENSINGTON AVE
PHILADELPHIA, PA
ZIP 19134
Phone: (215) 432-7396
- Organization
- Internal Medicine
- Addiction Medicine
- CLIA Number: 39D2317523
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-26-2027
About CORE WELLNESS CENTERS LLC
This page provides the complete NPI Profile along with additional information for Core Wellness Centers Llc, an internist established in Philadelphia, Pennsylvania operating as a Internal Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1215752670 assigned on November 2024. The practitioner's primary taxonomy code is 207RA0401X. 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 authorized official of this NPI record is Duane Lassiter (Member)
- NPI
- 1215752670
- Provider Name
- CORE WELLNESS CENTERS LLC
- Entity Type
- Organization
- Location Address
- 2952 KENSINGTON AVE PHILADELPHIA, PA 19134
- Location Phone
- (215) 432-7396
- Mailing Address
- 1515 MARKET ST STE 1200 PHILADELPHIA, PA 19102
- Mailing Phone
- (215) 432-7396
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-20-2024
- Last Update Date
- 11-20-2024
- Code Navigator
An internist like Core Wellness Centers Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
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
Internal Medicine Addiction Medicine
- Taxonomy Code
- 207RA0401X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction 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
- 39D2317523
- Facility Type
- Physician Office
- Certificate Effective Date
- January 27, 2025
- Certificate Expiration Date
- January 26, 2027
- Laboratory Director
- DR. ANIKA D. VAUGHN-COOKE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Core Wellness Centers Llc 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 | 2 | 1 | 5 | 7 | 5 | 2 | 6 | 7 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 2 | 5 | 14 | 5 | 4 | 6 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 2 + 5 + 1 + 4 + 5 + 4 + 6 + 1 + 4 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1215752670 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215752670, enumerated in the NPI registry as an "organization" on November 20, 2024
The provider is located at 2952 Kensington Ave Philadelphia, Pa 19134 and the phone number is (215) 432-7396
This medical organization specializes in Internal Medicine with taxonomy code 207RA0401X with a focus in Addiction Medicine
The provider's CLIA number is 39D2317523 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..
This NPI record was last updated on November 20, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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