COLORADO RIVER PAIN MANAGEMENT LLC
NPI 1639405756
Clinic/Center - Pain in Lake Havasu City, AZ
NPI Status: Active since October 23, 2009
Contact Information
1951 MESQUITE AVE
SUITE I
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (928) 453-3267
Fax: (928) 453-3276
- Organization
- Clinic/Center
- Pain
- CLIA Number: 03D2143676
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-21-2026
About COLORADO RIVER PAIN MANAGEMENT LLC
This page provides the complete NPI Profile along with additional information for Colorado River Pain Management Llc, a provider established in Lake Havasu City, Arizona operating as a Clinic/center, focusing in pain . The healthcare provider is registered in the NPI registry with number 1639405756 assigned on October 2009. The practitioner's primary taxonomy code is 261QP3300X with license number 26109 (AZ). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Judith A Spillane (Administrator)
- NPI
- 1639405756
- Provider Name
- COLORADO RIVER PAIN MANAGEMENT LLC
- Entity Type
- Organization
- Location Address
- 1951 MESQUITE AVE SUITE I LAKE HAVASU CITY, AZ 86403
- Location Phone
- (928) 453-3267
- Location Fax
- (928) 453-3276
- Mailing Address
- 1951 MESQUITE AVE SUITE I LAKE HAVASU CITY, AZ 86403
- Mailing Phone
- (928) 453-3267
- Mailing Fax
- (928) 453-3276
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-23-2009
- Last Update Date
- 11-05-2009
- 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 Pain
- Taxonomy Code
- 261QP3300X
- Type
- Ambulatory Health Care Facilities
- License No.
- 26109
- License State
- AZ
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| G71877 | MEDICARE UPIN (02) | AZ |
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
- 03D2143676
- Facility Type
- Physician Office
- Certificate Effective Date
- July 22, 2024
- Certificate Expiration Date
- July 21, 2026
- Laboratory Director
- ANDRES ALVARADO
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Colorado River Pain Management Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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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 1639405756, 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.
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 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
LAKE HAVASU CITY, AZ 86403
LAKE HAVASU CITY, AZ 86403
LAKE HAVASU CITY, AZ 86403
LAKE HAVASU CITY, AZ 86403
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639405756, enumerated as an "organization" on October 23, 2009.
The provider is located at 1951 MESQUITE AVE SUITE I LAKE HAVASU CITY, AZ 86403 and the phone number is (928) 453-3267.
Clinic/Center with taxonomy code 261QP3300X and a focus in Pain.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
