PEARLAND PRIME PROCEDURE SUITE LLC
NPI 1639652175
Clinic/Center - Ambulatory Surgical in Pearland, TX

NPI Status: Active since September 11, 2018

Contact Information

2620 CULLEN BLVD STE 202
PEARLAND, TX
ZIP 77581
Phone: (281) 292-7411

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 45D2108737
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-09-2026

About PEARLAND PRIME PROCEDURE SUITE LLC

This page provides the complete NPI Profile along with additional information for Pearland Prime Procedure Suite Llc, a provider established in Pearland, Texas operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1639652175 assigned on September 2018. The practitioner's primary taxonomy code is 261QA1903X. 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 Kent Olsan (Administrator)

NPI
1639652175
Provider Name
PEARLAND PRIME PROCEDURE SUITE LLC
Entity Type
Organization
Location Address
2620 CULLEN BLVD STE 202 PEARLAND, TX 77581
Location Phone
(281) 292-7411
Mailing Address
1544 SAWDUST RD STE 280 SPRING, TX 77380
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-11-2018
Last Update Date
09-11-2018
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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

KENT OLSAN

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(281) 467-4047

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
45D2108737
Facility Type
Physician Office
Certificate Effective Date
February 10, 2024
Certificate Expiration Date
February 09, 2026
Laboratory Director
ROHIT BHURIYA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pearland Prime Procedure Suite 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 1639652175, 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
6
Unchanged
Pos 3
3
Doubled → 6
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
5
Unchanged
Pos 7
2
Doubled → 4
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
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 3 → 6 6 → 12 → 3 2 → 4 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 6 + 9 + 1 + 2 + 5 + 4 + 1 + 1 + 4 + 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 1639652175.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Clinic/Center (Ambulatory Surgical)
2620 CULLEN BLVD STE 202
PEARLAND, TX 77581
General Practice
2620 CULLEN BLVD STE 202
PEARLAND, TX 77581
Chiropractor
2620 CULLEN BLVD STE 202
PEARLAND, TX 77581

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639652175, enumerated as an "organization" on September 11, 2018.

The provider is located at 2620 CULLEN BLVD STE 202 PEARLAND, TX 77581 and the phone number is (281) 292-7411.

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