TEXAS INDUSTRIAL MEDICAL
NPI 1679180293
Clinic/Center - Occupational Medicine in La Porte, TX

NPI Status: Active since September 28, 2020

Contact Information

1009 S BROADWAY ST
LA PORTE, TX
ZIP 77571
Phone: (819) 414-1742
Fax: (281) 941-4692

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  • Organization
  • Clinic/Center
  • Occupational Medicine
  • CLIA Number: 45D2205083
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-10-2026

About TEXAS INDUSTRIAL MEDICAL

This page provides the complete NPI Profile along with additional information for Texas Industrial Medical, a provider established in La Porte, Texas operating as a Clinic/center, focusing in occupational medicine . The healthcare provider is registered in the NPI registry with number 1679180293 assigned on September 2020. The practitioner's primary taxonomy code is 261QX0100X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Suzanne Schafer Schafer Do (Medical Director)

NPI
1679180293
Provider Name
TEXAS INDUSTRIAL MEDICAL
Entity Type
Organization
Location Address
1009 S BROADWAY ST LA PORTE, TX 77571
Location Phone
(819) 414-1742
Location Fax
(281) 941-4692
Mailing Address
1009 S BROADWAY ST LA PORTE, TX 77571
Mailing Phone
(819) 414-1742
Mailing Fax
(281) 941-4692
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-28-2020
Last Update Date
09-28-2020
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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 Occupational Medicine

Taxonomy Code
261QX0100X
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

SUZANNE SCHAFER SCHAFER DO

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(281) 941-4174

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
45D2205083
Facility Type
Physician Office
Certificate Effective Date
December 11, 2024
Certificate Expiration Date
December 10, 2026
Laboratory Director
RICKY W. MOSES
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Texas Industrial Medical 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 1679180293, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 4 + 9 + 2 + 8 + 0 + 2 + 1 + 8 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1679180293.

Other Providers at the Same Location


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

Registered Nurse (Community Health)
1009 S BROADWAY ST
LA PORTE, TX 77571
Clinic/Center (Public Health, State or Local)
1009 S BROADWAY ST
LA PORTE, TX 77571
Nurse Practitioner (Family)
1009 S BROADWAY ST
LA PORTE, TX 77571

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679180293, enumerated as an "organization" on September 28, 2020.

The provider is located at 1009 S BROADWAY ST LA PORTE, TX 77571 and the phone number is (819) 414-1742.

Clinic/Center with taxonomy code 261QX0100X and a focus in Occupational Medicine.