GLORY MEDCLINIC, LLC
NPI 1427472364
Clinic/Center - Health Service in Tampa, FL

NPI Status: Active since February 12, 2014

Contact Information

8019 N HIMES AVE
SUITE 200
TAMPA, FL
ZIP 33614
Phone: (813) 932-9798
Fax: (813) 935-5178

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  • Organization
  • Clinic/Center
  • Health Service
  • CLIA Number: 10D1026432
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-03-2026

About GLORY MEDCLINIC, LLC

This page provides the complete NPI Profile along with additional information for Glory Medclinic, Llc, a provider established in Tampa, Florida operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1427472364 assigned on February 2014. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Dr. David Omotayo Ikudayisi M.d. (President)

NPI
1427472364
Provider Name
GLORY MEDCLINIC, LLC
Entity Type
Organization
Location Address
8019 N HIMES AVE SUITE 200 TAMPA, FL 33614
Location Phone
(813) 932-9798
Location Fax
(813) 935-5178
Mailing Address
8019 N HIMES AVE SUITE 200 TAMPA, FL 33614
Mailing Phone
(813) 932-9798
Mailing Fax
(813) 935-5178
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-12-2014
Last Update Date
02-12-2014
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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 Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities
License State
FL

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

DR. DAVID OMOTAYO IKUDAYISI M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(813) 932-9798

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
10D1026432
Facility Type
Physician Office
Certificate Effective Date
June 04, 2024
Certificate Expiration Date
June 03, 2026
Laboratory Director
DAVID IKUDAYISI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Glory Medclinic, 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 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 1427472364, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 4 + 7 + 8 + 7 + 4 + 3 + 1 + 2 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1427472364.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Speech-Language Pathologist
8019 N HIMES AVE, SUITE 300
TAMPA, FL 33614
Clinic/Center
8019 N HIMES AVE, SUITE 202
TAMPA, FL 33614
Social Worker (Clinical)
8019 N HIMES AVE, SUITE 311
TAMPA, FL 33614
Speech-Language Pathologist
8019 N HIMES AVE, SUITE 300
TAMPA, FL 33614
Counselor (Mental Health)
8019 N HIMES AVE, SUITE 400
TAMPA, FL 33614
Counselor (Mental Health)
8019 N HIMES AVE, SUITE 400
TAMPA, FL 33614
Speech-Language Pathologist
8019 N HIMES AVE
TAMPA, FL 33614
Counselor (Mental Health)
8019 N HIMES AVE, SUITE 400
TAMPA, FL 33614
Counselor (Mental Health)
8019 N HIMES AVE, SUITE #400
TAMPA, FL 33614
Community/Behavioral Health
8019 N HIMES AVE, SUITE 311
TAMPA, FL 33614
Clinic/Center
8019 N HIMES AVE, SUITE 403
TAMPA, FL 33614
Massage Therapist
8019 N HIMES AVE, SUITE 403
TAMPA, FL 33614
Clinic/Center
8019 N HIMES AVE, STE 102
TAMPA, FL 33614
Home Health
8019 N HIMES AVE, SUITE 103
TAMPA, FL 33614
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
8019 N HIMES AVE, SUITE 504
TAMPA, FL 33614
Community/Behavioral Health
8019 N HIMES AVE, SUITE 400
TAMPA, FL 33614
Occupational Therapist
8019 N HIMES AVE, SUITE 300
TAMPA, FL 33614
Psychologist (Clinical)
8019 N HIMES AVE, SUITE 400
TAMPA, FL 33614
Psychologist (Group Psychotherapy)
8019 N HIMES AVE, SUITE 400
TAMPA, FL 33614

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427472364, enumerated as an "organization" on February 12, 2014.

The provider is located at 8019 N HIMES AVE SUITE 200 TAMPA, FL 33614 and the phone number is (813) 932-9798.

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.