CCRM FLORIDA LLC
NPI 1306589809
Clinic/Center - Ambulatory Surgical in Miami, FL

NPI Status: Active since April 14, 2022

Contact Information

19505 BISCAYNE BLVD
MIAMI, FL
ZIP 33180
Phone: (303) 885-5762

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 10D2267774
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-17-2026

About CCRM FLORIDA LLC

This page provides the complete NPI Profile along with additional information for Ccrm Florida Llc, a provider established in Miami, Florida operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1306589809 assigned on April 2022. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Diane Ravech (Chief Managed Care Officer)

NPI
1306589809
Provider Legal Name
CCRM FLORIDA LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
19505 BISCAYNE BLVD MIAMI, FL 33180
Location Phone
(303) 885-5762
Mailing Address
9380 STATION ST LONE TREE, CO 80124
Mailing Phone
(303) 885-5762
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-14-2022
Last Update Date
04-24-2025
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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 Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

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)
1261QA0006XAmbulatory Health Care Facilities

Clinic/Center
Ambulatory Fertility Facility

 

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

DIANE RAVECH

Authorized Official Title
CHIEF MANAGED CARE OFFICER
Authorized Official Phone
(860) 305-6640

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
10D2267774
Facility Type
Physician Office
Certificate Effective Date
September 18, 2024
Certificate Expiration Date
September 17, 2026
Laboratory Director
DR. JASON E. SWAIN
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Ccrm Florida Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha 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 1306589809, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
3
Unchanged
Pos 3
0
Doubled → 0
Pos 4
6
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
Check
9
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 0 → 0 5 → 10 → 1 9 → 18 → 9 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 0 + 6 + 1 + 0 + 8 + 1 + 8 + 8 + 0 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1306589809.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Audiologist-Hearing Aid Fitter
19505 BISCAYNE BLVD
MIAMI, FL 33180
Hearing Instrument Specialist
19505 BISCAYNE BLVD
AVENTURA, FL 33180
Optometrist
19505 BISCAYNE BLVD, INSIDE SEARS OPTICAL
AVENTURA, FL 33180
Optometrist (Corneal and Contact Management)
19505 BISCAYNE BLVD, SEARS OPTICAL
AVENTURA, FL 33180
Clinical Medical Laboratory
19505 BISCAYNE BLVD
MIAMI, FL 33180
Obstetrics & Gynecology (Reproductive Endocrinology)
19505 BISCAYNE BLVD
MIAMI, FL 33180

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306589809, enumerated as an "organization" on April 14, 2022.

The provider is located at 19505 BISCAYNE BLVD MIAMI, FL 33180 and the phone number is (303) 885-5762.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.