ATHENIX BODY SCULPTING INSTITUTE
NPI 1578970117
Clinic/Center - Ambulatory Surgical in Bellevue, WA

NPI Status: Active since July 15, 2014

Contact Information

636 120TH AVE NE STE 202
BELLEVUE, WA
ZIP 98005
Phone: (425) 454-2410
Fax: (425) 454-2259

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 50D2039119
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 04-04-2028

About ATHENIX BODY SCULPTING INSTITUTE

This page provides the complete NPI Profile along with additional information for Athenix Body Sculpting Institute, a provider established in Bellevue, Washington operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1578970117 assigned on July 2014. The practitioner's primary taxonomy code is 261QA1903X with license number ASF.FS.60329939 (WA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Athenix Body Sculpting Institute. The authorized official of this NPI record is Mr. James Haefner (Ceo)

NPI
1578970117
Provider Legal Name
NORTHWEST SURGICAL DEVELOPMENT OF BELLEVUE LLC
Other Organization Name
ATHENIX BODY SCULPTING INSTITUTE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
636 120TH AVE NE STE 202 BELLEVUE, WA 98005
Location Phone
(425) 454-2410
Location Fax
(425) 454-2259
Mailing Address
65 ENTERPRISE STE 125 ALISO VIEJO, CA 92656
Mailing Phone
(949) 600-9931
Mailing Fax
(425) 454-2259
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-15-2014
Last Update Date
02-10-2015
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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 Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
ASF.FS.60329939
License State
WA

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

MR. JAMES HAEFNER

Authorized Official Title
CEO
Authorized Official Phone
(949) 600-9931

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
50D2039119
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
April 02, 2012
Certificate Expiration Date
April 04, 2028
Laboratory Director
GAVIN DRY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Athenix Body Sculpting Institute 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 1578970117, 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 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.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
8
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
0
Doubled → 0
Pos 8
1
Unchanged
Pos 9
1
Doubled → 2
Check
7
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 7 → 14 → 5 9 → 18 → 9 0 → 0 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 4 + 8 + 1 + 8 + 7 + 0 + 1 + 2 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1578970117.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Surgery (Plastic and Reconstructive Surgery)
636 120TH AVE NE STE 202
BELLEVUE, WA 98005

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578970117, enumerated as an "organization" on July 15, 2014.

The provider is located at 636 120TH AVE NE STE 202 BELLEVUE, WA 98005 and the phone number is (425) 454-2410.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.