MICHELIN FAMILY HEATLH CENTER-ARDMORE
NPI 1740540327
Clinic/Center in Ardmore, OK
NPI Status: Active since May 17, 2012
Contact Information
1105 MICHELIN RD
ARDMORE, OK
ZIP 73401
Phone: (580) 224-8750
Fax: (580) 224-8751
- Organization
- Clinic/Center
- CLIA Number: 37D2068018
- CLIA Cert. Type: Waiver
- CLIA Exp. Date: 10-27-2025
About MICHELIN FAMILY HEATLH CENTER-ARDMORE
Michelin Family Heatlh Center-ardmore is a provider established in Ardmore, Oklahoma operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1740540327 assigned on May 2012. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Michelin Family Heatlh Center-ardmore. The authorized official of this NPI record is Jonathan Leizman M.d. (President)
- NPI
- 1740540327
- Provider Legal Name
- PREMISE HEALTH OF OKLAHOMA MEDICAL, P.C
- Other Organization Name
- MICHELIN FAMILY HEATLH CENTER-ARDMORE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1105 MICHELIN RD ARDMORE, OK 73401
- Location Phone
- (580) 224-8750
- Location Fax
- (580) 224-8751
- Mailing Address
- 5500 MARYLAND WAY BRENTWOOD, TN 37027
- Mailing Phone
- (580) 224-8750
- Mailing Fax
- (580) 224-8751
- Is Sole Proprietor?
- N/A
- Is Organization Subpart?
- No
- Enumeration Date
- 05-17-2012
- Last Update Date
- 10-13-2022
- Code Navigator
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
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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
- 37D2068018
- Facility Type
- Industrial
- Certificate Effective Date
- October 28, 2023
- Certificate Expiration Date
- October 27, 2025
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Michelin Family Heatlh Center-ardmore 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 | 4 | 0 | 5 | 4 | 0 | 3 | 2 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 8 | 0 | 10 | 4 | 0 | 3 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 8 + 0 + 1 + 0 + 4 + 0 + 3 + 4 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1740540327 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1336498864 | IMC OF OKLAHOMA, LLC Organization | Physical Therapist | 1105 MICHELIN RD ARDMORE, OK 73401 (580) 224-4446 |
| 1689652075 | PHILLIP ALTON NOKES DO Individual | Family Medicine (Sports Medicine) | 1105 MICHELIN RD MICHELIN FAMILY HEALTH CENTER ARDMORE, OK 73401 (580) 224-8750 |
| 1831253665 | LAURA J. LAMB ATCHLEY MS, LPC, LADC Individual | Counselor (Professional) | 1105 MICHELIN RD ARDMORE, OK 73401 (580) 224-8750 |
| 1972099927 | MEDEXPRESS PRIMARY CARE OKLAHOMA, P.C. Organization | General Practice | 1105 MICHELIN RD ARDMORE, OK 73401 (580) 224-8750 |
| 1588328561 | LORI HOBEN REGISTERED NURSE Individual | Registered Nurse | 1105 MICHELIN RD ARDMORE, OK 73401 (580) 224-8750 |
| 1669149324 | EVERSIDE HEALTH CENTER-MICHELIN ARDMORE Organization | Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine) | 1105 MICHELIN RD ARDMORE, OK 73401 (580) 224-8750 |
| 1689371569 | DEANA CHRISTINE MCGEHEE RN Individual | Registered Nurse | 1105 MICHELIN RD ARDMORE, OK 73401 (580) 224-8750 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740540327, enumerated in the NPI registry as an "organization" on May 17, 2012
The provider is located at 1105 Michelin Rd Ardmore, Ok 73401 and the phone number is (580) 224-8750
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
The provider's CLIA number is 37D2068018 for a "industrial" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..
This NPI record was last updated on May 17, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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