KIDMED WEST END
NPI 1407013121
Clinic/Center - Urgent Care in Glen Allen, VA
NPI Status: Active since May 20, 2008
Contact Information
4687 POUNCEY TRACT RD
GLEN ALLEN, VA
ZIP 23059
Phone: (804) 647-2240
- Organization
- Clinic/Center
- Urgent Care
- CLIA Number: 49D2015652
- CLIA Cert. Type: Other - URGENT CARE CENTER
- CLIA Exp. Date: 08-30-2027
About KIDMED WEST END
This page provides the complete NPI Profile along with additional information for Kidmed West End, a provider established in Glen Allen, Virginia operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1407013121 assigned on May 2008. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Kidmed West End. The authorized official of this NPI record is Dr. Mark A Flanzenbaum Md (President)
- NPI
- 1407013121
- Provider Legal Name
- KIDMED INC.
- Other Organization Name
- KIDMED WEST END
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4687 POUNCEY TRACT RD GLEN ALLEN, VA 23059
- Location Phone
- (804) 647-2240
- Mailing Address
- 4687 POUNCEY TRACT RD GLEN ALLEN, VA 23059
- Mailing Phone
- (804) 422-5437
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-20-2008
- Last Update Date
- 08-30-2023
- 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 Urgent Care
- Taxonomy Code
- 261QU0200X
- 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
- 49D2015652
- Facility Type
- Other - URGENT CARE CENTER
- Certificate Effective Date
- August 31, 2025
- Certificate Expiration Date
- August 30, 2027
- Laboratory Director
- JEFFREY BENNETT
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Kidmed West End 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 1407013121, 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 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.
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 49 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 12 providers are registered at the same or a nearby location.
GLEN ALLEN, VA 23059
GLEN ALLEN, VA 23059
GLEN ALLEN, VA 23059
GLEN ALLEN, VA 23059
GLEN ALLEN, VA 23059
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407013121, enumerated as an "organization" on May 20, 2008.
The provider is located at 4687 POUNCEY TRACT RD GLEN ALLEN, VA 23059 and the phone number is (804) 647-2240.
Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.
