BAYLOR COLLEGE OF MEDICINE (BAYLOR PATHOLOGY CONSULTANTS) NPI 1003016577

Clinical Medical Laboratory in Port Arthur, TX

NPI 1003016577 Organization Clinical Medical Laboratory CLIA Number 45D1061150 CLIA Certificate of Accreditation

NPI Profile for BAYLOR COLLEGE OF MEDICINE (BAYLOR PATHOLOGY CONSULTANTS)

Baylor College Of Medicine (baylor Pathology Consultants) is a provider established in Port Arthur, Texas specializing in clinical medical laboratory. The NPI number of Baylor College Of Medicine (baylor Pathology Consultants) is 1003016577 and was assigned on July 2007. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Baylor College Of Medicine. The authorized official of this NPI record is Mr. David M Titus (Director)

The CLIA number of Baylor College Of Medicine is 45D1061150 registered as a "other" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued to Baylor College Of Medicine 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.

NPI

1003016577

Provider NameBAYLOR COLLEGE OF MEDICINE (BAYLOR PATHOLOGY CONSULTANTS)
Provider Location Address2501 JIMMY JOHNSON BLVD SUITE 208 PORT ARTHUR, TX 77640
Provider Mailing AddressPO BOX 4698 HOUSTON, TX 77210
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameBAYLOR COLLEGE OF MEDICINE
Other Name TypeDoing Business As (3)
Enumeration Date07-23-2007
Last Update Date03-20-2009


Primary Taxonomy

Taxonomy Code291U00000X
ClassificationClinical Medical Laboratory
TypeLaboratories
Taxonomy Description(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

Business Address

BAYLOR COLLEGE OF MEDICINE
2501 JIMMY JOHNSON BLVD
SUITE 208
PORT ARTHUR, TX
ZIP 77640
Phone: (409) 983-4951

Get Directions


Mailing Address

BAYLOR COLLEGE OF MEDICINE
PO BOX 4698
HOUSTON, TX
ZIP 77210
Phone: (713) 481-3544



Authorized Official

Authorized Official NameMR. DAVID M TITUS
Authorized Official TitleDIRECTOR
Authorized Official Phone(713) 481-3544

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 the NPI number 1003016577 is:

CLIA Number45D1061150
Facility TypeOTHER
Certificate TypeCertificate of Accreditation

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
45D1061150OTHER (01)TXCLIA NUMBER

NPI Validation Check Digit Calculation


The following table explains step by step the 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.
1003016577
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030112514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 1 + 2 + 5 + 1 + 4 + 24 = 43
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 43 = 77

The NPI number 1003016577 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013913466 UMA SUKHAVASI M.D.
Individual
Family Medicine2501 JIMMY JOHNSON BLVD STE 301
PORT ARTHUR, TX 77640
(409) 721-5155
1548269566 ALLEN C. WILLIAMSON JR. D.O.
Individual
Family Medicine2501 JIMMY JOHNSON BLVD #501
PORT ARTHUR, TX 77640
(409) 729-2555
1265473151PRASADA R NALLURI MD PA
Organization
Internal Medicine2501 JIMMY JOHNSON BLVD SUITE 302
PORT ARTHUR, TX 77640
(409) 727-3000
1134147705MR. MARTIN ROBERT HAIG M.D.
Individual
Specialist2501 JIMMY JOHNSON BLVD SUITE 202
PORT ARTHUR, TX 77640
(409) 722-4446
1659475234TOWER MEDICAL CENTER OF PORT NECHES
Organization
Internal Medicine2501 JIMMY JOHNSON BLVD SUITE 502
PORT ARTHUR, TX 77640
(409) 727-7342
1285738930 STEPHEN C WEATHERFORD MD
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)2501 JIMMY JOHNSON BLVD SUITE 201
PORT ARTHUR, TX 77640
(409) 853-5288
1881749455MRS. DEBORAH KAY MAY CFNP
Individual
Nurse Practitioner (Gerontology)2501 JIMMY JOHNSON BLVD SUITE 405
PORT ARTHUR, TX 77640
(409) 722-6553
1376705947PICKARD GOSSETT SAWISKY LLP
Organization
Family Medicine2501 JIMMY JOHNSON BLVD STE 307
PORT ARTHUR, TX 77640
(409) 722-0026
1548592413MARGARET LANG-WILLIAMS, MD PA
Organization
Internal Medicine2501 JIMMY JOHNSON BLVD 502
PORT ARTHUR, TX 77640
(409) 727-7342
1346249653 ISSAM HARMOUSH MD
Individual
Surgery2501 JIMMY JOHNSON BLVD SUITE 403
PORT ARTHUR, TX 77640
(409) 853-5987
1750338380MR. CARL JOSEPH BEAUDRY M.D.
Individual
Specialist2501 JIMMY JOHNSON BLVD SUITE 202
PORT ARTHUR, TX 77640
(409) 722-4446
1811976715 RYAN C MCHUGH M.D.
Individual
Pain Medicine (Interventional Pain Medicine)2501 JIMMY JOHNSON BLVD SUITE 502
PORT ARTHUR, TX 77640
(409) 853-5102
1598763062DR. DON AUFFURTH DUPLAN MD
Individual
Otolaryngology2501 JIMMY JOHNSON BLVD SUITE 305
PORT ARTHUR, TX 77640
(409) 722-5000
1104104207 THO VAN TRAN MD
Individual
Psychiatry & Neurology (Psychiatry)2501 JIMMY JOHNSON BLVD SUITE 501
PORT ARTHUR, TX 77640
(713) 449-1668
1770918013MOHAMED D VADVA MD PA
Organization
Internal Medicine (Gastroenterology)2501 JIMMY JOHNSON BLVD SIUTE 204
PORT ARTHUR, TX 77640
(409) 722-7700
1699181784HEART & LUNG CENTER OF SOUTHEAST TEXAS PA
Organization
Internal Medicine (Clinical Cardiac Electrophysiology)2501 JIMMY JOHNSON BLVD STE 406
PORT ARTHUR, TX 77640
(409) 548-4761
1922082940DR. JACK C JOHNSTON M.D.
Individual
Orthopaedic Surgery (Sports Medicine)2501 JIMMY JOHNSON BLVD SUITE 400
PT. ARTHUR, TX 77640
(409) 838-0346
1861409278 NIDAL I BUHEIS M.D.
Individual
Internal Medicine (Cardiovascular Disease)2501 JIMMY JOHNSON BLVD SUITE 500
PORT ARTHUR, TX 77640
(409) 723-6600
1699786640S.K. RAO, M.D., P.A.
Organization
Internal Medicine (Cardiovascular Disease)2501 JIMMY JOHNSON BLVD SUITE 500
PORT ARTHUR, TX 77640
(409) 723-6600
1881901007DR. KRISTINE ELIZABETH BANKS DAHL M.D.
Individual
Orthopaedic Surgery2501 JIMMY JOHNSON BLVD SUITE 304
PORT ARTHUR, TX 77640
(409) 853-5144

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Baylor College Of Medicine is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.