KIDMED SOUTHSIDE PLC
NPI 1477869337
Clinic/Center - Urgent Care in Midlothian, VA
NPI Status: Active since August 28, 2010
Contact Information
5021 CRAIG RATH BLVD
BLDG IV
MIDLOTHIAN, VA
ZIP 23112
Phone: (804) 422-5437
Fax: (804) 422-5438
- Organization
- Clinic/Center
- Urgent Care
- CLIA Number: 49D2015652
- CLIA Cert. Type: Other - URGENT CARE CENTER
- CLIA Exp. Date: 08-30-2027
About KIDMED SOUTHSIDE PLC
This page provides the complete NPI Profile along with additional information for Kidmed Southside Plc, a provider established in Midlothian, Virginia operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1477869337 assigned on August 2010. 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 authorized official of this NPI record is Dr. Mark Adam Flanzenbaum M.d. (President/managing Partner)
- NPI
- 1477869337
- Provider Name
- KIDMED SOUTHSIDE PLC
- Entity Type
- Organization
- Location Address
- 5021 CRAIG RATH BLVD BLDG IV MIDLOTHIAN, VA 23112
- Location Phone
- (804) 422-5437
- Location Fax
- (804) 422-5438
- Mailing Address
- 4687 POUNCEY TRACT RD GLEN ALLEN, VA 23059
- Mailing Phone
- (804) 422-5437
- Mailing Fax
- (804) 422-5438
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-28-2010
- Last Update Date
- 08-28-2023
- 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 Southside Plc 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 1477869337, we treat the final digit (7) 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 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).
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 73 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
MIDLOTHIAN, VA 23112
MIDLOTHIAN, VA 23112
MIDLOTHIAN, VA 23112
MIDLOTHIAN, VA 23112
MIDLOTHIAN, VA 23112
MIDLOTHIAN, VA 23112
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477869337, enumerated as an "organization" on August 28, 2010.
The provider is located at 5021 CRAIG RATH BLVD BLDG IV MIDLOTHIAN, VA 23112 and the phone number is (804) 422-5437.
Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.
