SOUTHPARK HEART & RHYTHM CENTER LLC
NPI 1710796446
Clinic/Center - Ambulatory Surgical in Colonial Heights, VA
NPI Status: Active since January 07, 2025
Contact Information
445 CHARLES H DIMMOCK PKWY STE 102
COLONIAL HEIGHTS, VA
ZIP 23834
Phone: (804) 823-2375
Fax: (804) 495-4955
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 49D2329115
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 08-21-2027
About SOUTHPARK HEART & RHYTHM CENTER LLC
This page provides the complete NPI Profile along with additional information for Southpark Heart & Rhythm Center Llc, a provider established in Colonial Heights, Virginia operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1710796446 assigned on January 2025. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mitesh Amin Md (Ceo)
- NPI
- 1710796446
- Provider Name
- SOUTHPARK HEART & RHYTHM CENTER LLC
- Entity Type
- Organization
- Location Address
- 445 CHARLES H DIMMOCK PKWY STE 102 COLONIAL HEIGHTS, VA 23834
- Location Phone
- (804) 823-2375
- Location Fax
- (804) 495-4955
- Mailing Address
- 445 CHARLES H DIMMOCK PKWY STE 100 COLONIAL HEIGHTS, VA 23834
- Mailing Phone
- (804) 823-2375
- Mailing Fax
- (804) 495-4955
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-07-2025
- Last Update Date
- 01-09-2025
- 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 Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- 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
- 49D2329115
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- August 22, 2025
- Certificate Expiration Date
- August 21, 2027
- Laboratory Director
- JENNY M. HARRELL
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Southpark Heart & Rhythm Center 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 1710796446, 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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710796446, enumerated as an "organization" on January 07, 2025.
The provider is located at 445 CHARLES H DIMMOCK PKWY STE 102 COLONIAL HEIGHTS, VA 23834 and the phone number is (804) 823-2375.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
