EXCEPTIONAL HEALTHCARE TYLER LLC
NPI 1770118879
Clinic/Center - Emergency Care in Tyler, TX
NPI Status: Active since March 09, 2020
Contact Information
2222 E SOUTHEAST LOOP 323
TYLER, TX
ZIP 75701
Phone: (469) 341-7800
- Organization
- Clinic/Center
- Emergency Care
- CLIA Number: 45D2184670
- CLIA Cert. Type: Other - FREESTANDING ER
- CLIA Exp. Date: 12-28-2027
About EXCEPTIONAL HEALTHCARE TYLER LLC
This page provides the complete NPI Profile along with additional information for Exceptional Healthcare Tyler Llc, a provider established in Tyler, Texas operating as a Clinic/center, focusing in emergency care . The healthcare provider is registered in the NPI registry with number 1770118879 assigned on March 2020. The practitioner's primary taxonomy code is 261QE0002X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Saeed S Mahboubi (Ceo)
- NPI
- 1770118879
- Provider Name
- EXCEPTIONAL HEALTHCARE TYLER LLC
- Entity Type
- Organization
- Location Address
- 2222 E SOUTHEAST LOOP 323 TYLER, TX 75701
- Location Phone
- (469) 341-7800
- Mailing Address
- 3514 CEDAR SPRINGS RD DALLAS, TX 75219
- Mailing Phone
- (469) 341-7800
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-09-2020
- Last Update Date
- 08-19-2022
- 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 Emergency Care
- Taxonomy Code
- 261QE0002X
- 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
- 45D2184670
- Facility Type
- Other - FREESTANDING ER
- Certificate Effective Date
- December 29, 2025
- Certificate Expiration Date
- December 28, 2027
- Laboratory Director
- KARIM MOSHREFI
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Exceptional Healthcare Tyler Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha 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 1770118879, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
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 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770118879, enumerated as an "organization" on March 09, 2020.
The provider is located at 2222 E SOUTHEAST LOOP 323 TYLER, TX 75701 and the phone number is (469) 341-7800.
Clinic/Center with taxonomy code 261QE0002X and a focus in Emergency Care.
