DOUGLAS VASCULAR CENTER, LLC
NPI 1619244555
Clinic/Center - Medical Specialty in Douglas, GA
NPI Status: Active since November 21, 2011
Contact Information
326 SHIRLEY AVE
DOUGLAS, GA
ZIP 31533
Phone: (727) 474-0090
- Organization
- Clinic/Center
- Medical Specialty
- CLIA Number: 11D2038282
- CLIA Cert. Type: Ancillary Testing Site in Health Care Center
- CLIA Exp. Date: 03-18-2026
About DOUGLAS VASCULAR CENTER, LLC
This page provides the complete NPI Profile along with additional information for Douglas Vascular Center, Llc, a provider established in Douglas, Georgia operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1619244555 assigned on November 2011. The practitioner's primary taxonomy code is 261QM2500X with license number 11081332 (FL). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Mrs. Janet R Dees Managing Member (Managing Member)
- NPI
- 1619244555
- Provider Name
- DOUGLAS VASCULAR CENTER, LLC
- Entity Type
- Organization
- Location Address
- 326 SHIRLEY AVE DOUGLAS, GA 31533
- Location Phone
- (727) 474-0090
- Mailing Address
- 3001 PALM HARBOR BLVD STE A PALM HARBOR, FL 34683
- Mailing Phone
- (727) 474-0090
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-21-2011
- Last Update Date
- 04-06-2018
- 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 Medical Specialty
- Taxonomy Code
- 261QM2500X
- Type
- Ambulatory Health Care Facilities
- License No.
- 11081332
- License State
- FL
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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
- 11D2038282
- Facility Type
- Ancillary Testing Site in Health Care Center
- Certificate Effective Date
- March 19, 2024
- Certificate Expiration Date
- March 18, 2026
- Laboratory Director
- MR. DARRELL WOODS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Douglas Vascular 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 1619244555, 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.
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 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619244555, enumerated as an "organization" on November 21, 2011.
The provider is located at 326 SHIRLEY AVE DOUGLAS, GA 31533 and the phone number is (727) 474-0090.
Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.
