CONCORDIA STAR MEDICAL LLC
NPI 1508134792
Clinic/Center - Primary Care in Puyallup, WA
NPI Status: Active since December 02, 2011
Contact Information
118 7TH AVE SW
SUITE A
PUYALLUP, WA
ZIP 98371
Phone: (253) 579-0067
Fax: (253) 579-0068
- Organization
- Clinic/Center
- Primary Care
- Accepts Insurance
- CLIA Number: 50D2034891
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-04-2028
About CONCORDIA STAR MEDICAL LLC
This page provides the complete NPI Profile along with additional information for Concordia Star Medical Llc, a primary care provider established in Puyallup, Washington operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1508134792 assigned on December 2011. The practitioner's primary taxonomy code is 261QP2300X with license number MD00034362 (WA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Dr. Ladie Christine Arana-domondon M.d. (Owner - Ceo)
- NPI
- 1508134792
- Provider Name
- CONCORDIA STAR MEDICAL LLC
- Entity Type
- Organization
- Location Address
- 118 7TH AVE SW SUITE A PUYALLUP, WA 98371
- Location Phone
- (253) 579-0067
- Location Fax
- (253) 579-0068
- Mailing Address
- 118 7TH AVE SW SUITE A PUYALLUP, WA 98371
- Mailing Phone
- (253) 579-0067
- Mailing Fax
- (253) 579-0068
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-02-2011
- Last Update Date
- 05-15-2015
- Code Navigator
A primary care provider (PCP) like Concordia Star Medical Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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
Clinic/Center Primary Care
- Taxonomy Code
- 261QP2300X
- Type
- Ambulatory Health Care Facilities
- License No.
- MD00034362
- License State
- WA
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) |
|---|---|---|---|---|
| 1 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | MD00034362 (WA) |
| 2 | 261QU0200X | Ambulatory Health Care Facilities | Clinic/Center | MD00034362 (WA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 50D2034891
- Facility Type
- Physician Office
- Certificate Effective Date
- January 06, 2012
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- LADIE ARANA-DOMONDON
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Concordia Star Medical Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate 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 1508134792, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
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 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508134792, enumerated as an "organization" on December 02, 2011.
The provider is located at 118 7TH AVE SW SUITE A PUYALLUP, WA 98371 and the phone number is (253) 579-0067.
Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.
