OLYMPIAN SURGICAL SUITES LLC
NPI 1629218466
Clinic/Center - Ambulatory Surgical in Champaign, IL

NPI Status: Active since March 05, 2009

Contact Information

1002 W INTERSTATE DR
CHAMPAIGN, IL
ZIP 61822
Phone: (217) 693-5703
Fax: (217) 693-5723

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 14D1101337
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 06-24-2027

About OLYMPIAN SURGICAL SUITES LLC

This page provides the complete NPI Profile along with additional information for Olympian Surgical Suites Llc, a provider established in Champaign, Illinois operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1629218466 assigned on March 2009. The practitioner's primary taxonomy code is 261QA1903X. 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 Hailey Boyd (Business Office Manager)

NPI
1629218466
Provider Name
OLYMPIAN SURGICAL SUITES LLC
Entity Type
Organization
Location Address
1002 W INTERSTATE DR CHAMPAIGN, IL 61822
Location Phone
(217) 693-5703
Location Fax
(217) 693-5723
Mailing Address
1002 W INTERSTATE DR CHAMPAIGN, IL 61822
Mailing Phone
(217) 693-5703
Mailing Fax
(217) 693-5723
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-05-2009
Last Update Date
05-01-2025
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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 Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

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

HAILEY BOYD

Authorized Official Title
BUSINESS OFFICE MANAGER
Authorized Official Phone
(217) 693-5703

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
14D1101337
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
June 25, 2025
Certificate Expiration Date
June 24, 2027
Laboratory Director
SIDNEY ROHSCHIEB
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Olympian Surgical Suites 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 1629218466, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
6
Unchanged
Pos 3
2
Doubled → 4
Pos 4
9
Unchanged
Pos 5
2
Doubled → 4
Pos 6
1
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
6
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 2 → 4 2 → 4 8 → 16 → 7 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 4 + 9 + 4 + 1 + 1 + 6 + 4 + 1 + 2 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1629218466.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629218466, enumerated as an "organization" on March 05, 2009.

The provider is located at 1002 W INTERSTATE DR CHAMPAIGN, IL 61822 and the phone number is (217) 693-5703.

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