EXCELSIOR SPRINGS PHYSICIAN CLINIC LLC
NPI 1851860498
Clinic/Center in Lawson, MO

NPI Status: Active since November 13, 2018

Contact Information

25610 PARK RD N
LAWSON, MO
ZIP 64062
Phone: (816) 630-6722

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  • Organization
  • Clinic/Center
  • CLIA Number: 26D2004732
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 05-22-2026

About EXCELSIOR SPRINGS PHYSICIAN CLINIC LLC

This page provides the complete NPI Profile along with additional information for Excelsior Springs Physician Clinic Llc, a provider established in Lawson, Missouri operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1851860498 assigned on November 2018. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Cameron Meyer (Cfo)

NPI
1851860498
Provider Name
EXCELSIOR SPRINGS PHYSICIAN CLINIC LLC
Entity Type
Organization
Location Address
25610 PARK RD N LAWSON, MO 64062
Location Phone
(816) 630-6722
Mailing Address
1700 RAINBOW BLVD EXCELSIOR SPRINGS, MO 64024
Mailing Phone
(816) 630-6081
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-13-2018
Last Update Date
11-13-2018
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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

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).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QS1000XAmbulatory Health Care Facilities

Clinic/Center
Student Health

 

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

CAMERON MEYER

Authorized Official Title
CFO
Authorized Official Phone
(816) 629-2763

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
26D2004732
Facility Type
Community Clinic
Certificate Effective Date
March 11, 2010
Certificate Expiration Date
May 22, 2026
Laboratory Director
OZLEM C. ULUSARAC
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Excelsior Springs Physician Clinic 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 1851860498, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
8
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
1
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
6
Unchanged
Pos 7
0
Doubled → 0
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
8
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 5 → 10 → 1 8 → 16 → 7 0 → 0 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 0 + 1 + 1 + 6 + 6 + 0 + 4 + 1 + 8 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1851860498.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851860498, enumerated as an "organization" on November 13, 2018.

The provider is located at 25610 PARK RD N LAWSON, MO 64062 and the phone number is (816) 630-6722.

Clinic/Center with taxonomy code 261Q00000X.