INTEGRATED SPECIALTY CLINIC LLC
NPI 1982599536
Clinic/Center - Multi-Specialty in Daphne, AL
NPI Status: Active since June 12, 2025
Contact Information
26133 GILMORE WAY
DAPHNE, AL
ZIP 36526
Phone: (314) 610-2277
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 01D2290035
- CLIA Cert. Type: Other - OUTPATIENT CLINIC
- CLIA Exp. Date: 09-18-2027
About INTEGRATED SPECIALTY CLINIC LLC
This page provides the complete NPI Profile along with additional information for Integrated Specialty Clinic Llc, a provider established in Daphne, Alabama operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1982599536 assigned on June 2025. The practitioner's primary taxonomy code is 261QM1300X. 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 Ms. Mandi Jackson Fnp-c (Owner)
- NPI
- 1982599536
- Provider Name
- INTEGRATED SPECIALTY CLINIC LLC
- Entity Type
- Organization
- Location Address
- 26133 GILMORE WAY DAPHNE, AL 36526
- Location Phone
- (314) 610-2277
- Mailing Address
- 26133 GILMORE WAY DAPHNE, AL 36526
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-12-2025
- Last Update Date
- 06-12-2025
- 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 Multi-Specialty
- Taxonomy Code
- 261QM1300X
- 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
- 01D2290035
- Facility Type
- Other - OUTPATIENT CLINIC
- Certificate Effective Date
- September 19, 2025
- Certificate Expiration Date
- September 18, 2027
- Laboratory Director
- DR. SANJAY MALHOTRA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Integrated Specialty Clinic 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 1982599536, 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 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 74 is 80. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1982599536, enumerated as an "organization" on June 12, 2025.
The provider is located at 26133 GILMORE WAY DAPHNE, AL 36526 and the phone number is (314) 610-2277.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
