REVIVE CLINIC AND IV THERAPY LLC
NPI 1942079231
Public Health or Welfare in Manassas, VA

NPI Status: Active since December 27, 2023

Contact Information

7000 INFANTRY RIDGE RD STE 110A
MANASSAS, VA
ZIP 20109
Phone: (703) 828-8089

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  • Organization
  • Public Health or Welfare
  • CLIA Number: 49D2311687
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-25-2026

About REVIVE CLINIC AND IV THERAPY LLC

This page provides the complete NPI Profile along with additional information for Revive Clinic And Iv Therapy Llc, a provider established in Manassas, Virginia operating as a Public Health Or Welfare. The healthcare provider is registered in the NPI registry with number 1942079231 assigned on December 2023. The practitioner's primary taxonomy code is 251K00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Gurdev Singh Director (Dierctor)

NPI
1942079231
Provider Name
REVIVE CLINIC AND IV THERAPY LLC
Entity Type
Organization
Location Address
7000 INFANTRY RIDGE RD STE 110A MANASSAS, VA 20109
Location Phone
(703) 828-8089
Mailing Address
7000 INFANTRY RIDGE RD STE 110A MANASSAS, VA 20109
Mailing Phone
(703) 828-8089
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-27-2023
Last Update Date
12-27-2023
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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

Public Health or Welfare

Taxonomy Code
251K00000X
Type
Agencies

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

GURDEV SINGH DIRECTOR

Authorized Official Title
DIERCTOR
Authorized Official Phone
(703) 585-4942

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
49D2311687
Facility Type
Physician Office
Certificate Effective Date
September 26, 2024
Certificate Expiration Date
September 25, 2026
Laboratory Director
KYANA ANTHONY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Revive Clinic And Iv Therapy Llc 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 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 1942079231, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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
9
Unchanged
Pos 3
4
Doubled → 8
Pos 4
2
Unchanged
Pos 5
0
Doubled → 0
Pos 6
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
2
Unchanged
Pos 9
3
Doubled → 6
Check
1
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 4 → 8 0 → 0 9 → 18 → 9 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 8 + 2 + 0 + 7 + 1 + 8 + 2 + 6 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1942079231.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942079231, enumerated as an "organization" on December 27, 2023.

The provider is located at 7000 INFANTRY RIDGE RD STE 110A MANASSAS, VA 20109 and the phone number is (703) 828-8089.

Public Health or Welfare with taxonomy code 251K00000X.