ISA MEDICAL CENTER LLC
NPI 1568279255
Clinic/Center in Davenport, FL

NPI Status: Active since December 16, 2024

Contact Information

9350 W US-192 HWY
DAVENPORT, FL
ZIP 33897
Phone: (786) 280-6011

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  • Organization
  • Clinic/Center
  • CLIA Number: 10D2317598
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-27-2027

About ISA MEDICAL CENTER LLC

This page provides the complete NPI Profile along with additional information for Isa Medical Center Llc, a provider established in Davenport, Florida operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1568279255 assigned on December 2024. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Isabel Cristina Anez Diaz (Manager Member)

NPI
1568279255
Provider Name
ISA MEDICAL CENTER LLC
Entity Type
Organization
Location Address
9350 W US-192 HWY DAVENPORT, FL 33897
Location Phone
(786) 280-6011
Mailing Address
9350 W US-192 HWY DAVENPORT, FL 33897
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-16-2024
Last Update Date
05-21-2025
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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

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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

ISABEL CRISTINA ANEZ DIAZ

Authorized Official Title
MANAGER MEMBER
Authorized Official Phone
(407) 209-5451

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
10D2317598
Facility Type
Physician Office
Certificate Effective Date
January 28, 2025
Certificate Expiration Date
January 27, 2027
Laboratory Director
MINELY B. MARTINEZ VELAZQUEZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Isa Medical Center 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 1568279255, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
5
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
8
Unchanged
Pos 5
2
Doubled → 4
Pos 6
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
2
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
5
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 6 → 12 → 3 2 → 4 9 → 18 → 9 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 2 + 8 + 4 + 7 + 1 + 8 + 2 + 1 + 0 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1568279255.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568279255, enumerated as an "organization" on December 16, 2024.

The provider is located at 9350 W US-192 HWY DAVENPORT, FL 33897 and the phone number is (786) 280-6011.

Clinic/Center with taxonomy code 261Q00000X.