SSRI
NPI 1679906176
Clinic/Center - Pain in Tempe, AZ

NPI Status: Active since August 20, 2013

Contact Information

2600 E. SOUTHERN AVE.
I-1
TEMPE, AZ
ZIP 85282
Phone: (480) 420-3600
Fax: (480) 420-3644

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  • Organization
  • Clinic/Center
  • Pain
  • CLIA Number: 03D2073183
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-11-2026

About SSRI

This page provides the complete NPI Profile along with additional information for Ssri, a provider established in Tempe, Arizona operating as a Clinic/center, focusing in pain . The healthcare provider is registered in the NPI registry with number 1679906176 assigned on August 2013. The practitioner's primary taxonomy code is 261QP3300X with license number 46748 (AZ). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's other name is Ssri. The authorized official of this NPI record is Dr. Paul S Sraow M.d. (Manager)

NPI
1679906176
Provider Legal Name
SPINE & SPORTS REHABILITATION INSTITUTE
Other Organization Name
SSRI
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
2600 E. SOUTHERN AVE. I-1 TEMPE, AZ 85282
Location Phone
(480) 420-3600
Location Fax
(480) 420-3644
Mailing Address
2600 E. SOUTHERN AVE. I-1 TEMPE, AZ 85282
Mailing Phone
(480) 420-3600
Mailing Fax
(480) 420-3644
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-20-2013
Last Update Date
01-05-2021
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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 Pain

Taxonomy Code
261QP3300X
Type
Ambulatory Health Care Facilities
License No.
46748
License State
AZ

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

DR. PAUL S SRAOW M.D.

Authorized Official Title
MANAGER
Authorized Official Phone
(480) 420-3600

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
03D2073183
Facility Type
Physician Office
Certificate Effective Date
February 12, 2024
Certificate Expiration Date
February 11, 2026
Laboratory Director
PAUL S. SRAOW
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ssri 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 1679906176, 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
7
Doubled → 14 → 1 + 4
Pos 4
9
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
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 7 → 14 → 5 9 → 18 → 9 6 → 12 → 3 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 + 1 + 4 + 9 + 1 + 8 + 0 + 1 + 2 + 1 + 1 + 4 + 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 1679906176.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679906176, enumerated as an "organization" on August 20, 2013.

The provider is located at 2600 E. SOUTHERN AVE. I-1 TEMPE, AZ 85282 and the phone number is (480) 420-3600.

Clinic/Center with taxonomy code 261QP3300X and a focus in Pain.