LAKE CO SCHOOLS - LEESBURG
NPI 1700550902
Clinic/Center - Multi-Specialty in Leesburg, FL
NPI Status: Active since August 03, 2021
Contact Information
1908 CENTER ST
LEESBURG, FL
ZIP 34748
Phone: (352) 253-4190
Fax: (352) 240-3944
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 10D2054624
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-24-2027
About LAKE CO SCHOOLS - LEESBURG
This page provides the complete NPI Profile along with additional information for Lake Co Schools - Leesburg, a provider established in Leesburg, Florida operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1700550902 assigned on August 2021. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Lake Co Schools - Leesburg. The authorized official of this NPI record is Jon Leizman Md (President)
- NPI
- 1700550902
- Provider Legal Name
- PREMISE HEALTH OF FLORIDA MEDICAL, P.A.
- Other Organization Name
- LAKE CO SCHOOLS - LEESBURG
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1908 CENTER ST LEESBURG, FL 34748
- Location Phone
- (352) 253-4190
- Location Fax
- (352) 240-3944
- Mailing Address
- 5500 MARYLAND WAY BRENTWOOD, TN 37027
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-03-2021
- Last Update Date
- 08-15-2022
- 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 Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
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
- 10D2054624
- Facility Type
- Physician Office
- Certificate Effective Date
- February 25, 2025
- Certificate Expiration Date
- February 24, 2027
- Laboratory Director
- DEBORAH JONES
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Lake Co Schools - Leesburg 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 Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 0 | 0 | 5 | 5 | 0 | 9 | 0 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 0 | 0 | 10 | 5 | 0 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 0 + 0 + 1 + 0 + 5 + 0 + 9 + 0 + 24 = 48 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 48 = 2 | 2 | ||||||||
The NPI number 1700550902 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
CAREHERE LLC
Family Medicine
1908 CENTER ST
LEESBURG, FL
ZIP 34748
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700550902, enumerated as an "organization" on August 03, 2021.
The provider is located at 1908 CENTER ST LEESBURG, FL 34748 and the phone number is (352) 253-4190.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
