HEALTHY MD CLINICAL, LLC F/K/A INDEPENDENT MEDICAL GROUP, LLC
NPI 1558906800
Clinic/Center - Health Service in Coconut Creek, FL
NPI Status: Active since November 11, 2019
Contact Information
6119 LYONS RD
COCONUT CREEK, FL
ZIP 33073
Phone: (800) 773-7066
Fax: (833) 258-4230
- Organization
- Clinic/Center
- Health Service
- CLIA Number: 10D2211416
- CLIA Cert. Type: Other - HIV/STI TESTING CLINIC
- CLIA Exp. Date: 01-26-2027
About HEALTHY MD CLINICAL, LLC F/K/A INDEPENDENT MEDICAL GROUP, LLC
This page provides the complete NPI Profile along with additional information for Healthy Md Clinical, Llc F/k/a Independent Medical Group, Llc, a provider established in Coconut Creek, Florida operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1558906800 assigned on November 2019. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's
- NPI
- 1558906800
- Provider Legal Name
- HEALTHY MD CLINICAL, LLC F/K/A INDEPENDENT MEDICAL GROUP, LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 6119 LYONS RD COCONUT CREEK, FL 33073
- Location Phone
- (800) 773-7066
- Location Fax
- (833) 258-4230
- Mailing Address
- 6119 LYONS RD COCONUT CREEK, FL 33073
- Mailing Phone
- (800) 773-7066
- Mailing Fax
- (833) 258-4230
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-11-2019
- Last Update Date
- 05-14-2025
- Code Navigator
Location Map
Secondary Locations
- 4360 Northlake Blvd Ste 115
Palm Beach Gardens, FL 33410
(800) 773-7066 - 3900 S Florida Ave
Lakeland, FL 33813
(800) 773-7066 - 28420 Bonita Crossings Blvd Unit 130
Bonita Springs, FL 34135
(800) 773-7066 - 7436 S Federal Hwy
Port St Lucie, FL 34952
(800) 773-7066 - 130 E Marks St
Orlando, FL 32803
(800) 773-7066 - 1271 NW 6th St
Miami, FL 33125
(800) 773-7066 - 7933 Baymeadows Way Ste 7
Jacksonville, FL 32256
(800) 773-7066 - 411 Office Plaza Dr
Tallahassee, FL 32301
(800) 773-7066
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
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
- 10D2211416
- Facility Type
- Other - HIV/STI TESTING CLINIC
- Certificate Effective Date
- January 27, 2025
- Certificate Expiration Date
- January 26, 2027
- Laboratory Director
- KISHMA VICTOR
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Healthy Md Clinical, Llc F/k/a Independent Medical Group, 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 1558906800, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
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 60 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558906800, enumerated as an "organization" on November 11, 2019.
The provider is located at 6119 LYONS RD COCONUT CREEK, FL 33073 and the phone number is (800) 773-7066.
Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.
