MELBOURNE MEDICAL LABORATORY LLC
NPI 1013353200
Clinical Medical Laboratory in Melbourne, FL

NPI Status: Active since May 15, 2013

Contact Information

95 BULLDOG BLVD
SUITE 103
MELBOURNE, FL
ZIP 32901
Phone: (321) 722-1766
Fax: (321) 722-0346

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  • Organization
  • Clinical Medical Laboratory
  • Accepts Insurance
  • CLIA Number: 10D0023780
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-31-2025

About MELBOURNE MEDICAL LABORATORY LLC

This page provides the complete NPI Profile along with additional information for Melbourne Medical Laboratory Llc, a provider established in Melbourne, Florida operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1013353200 assigned on May 2013. 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 authorized official of this NPI record is Craig Deligdish Md (President)

NPI
1013353200
Provider Name
MELBOURNE MEDICAL LABORATORY LLC
Entity Type
Organization
Location Address
95 BULLDOG BLVD SUITE 103 MELBOURNE, FL 32901
Location Phone
(321) 722-1766
Location Fax
(321) 722-0346
Mailing Address
95 BULLDOG BLVD SUITE 202 MELBOURNE, FL 32901
Mailing Phone
(321) 727-2990
Mailing Fax
(321) 722-0346
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-15-2013
Last Update Date
05-15-2013
Code Navigator

Establishments like Melbourne Medical Laboratory Llc are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

Clinical labs in the U.S. that perform human testing are regulated by the Centers for Medicare & Medicaid Services (CMS) through the Clinical Laboratory Improvement Amendments (CLIA) program. The purpose of the CLIA program is to guarantee the quality of laboratory testing. This provider has a CLIA number assigned, and undergoes regular inspections to ensure compliance and quality.

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

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
Laboratories
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Gym Access IND Bronze HMO 1340 - HMO
  • Gym Access IND Bronze HMO OA 1211 - HMO
  • Gym Access IND Bronze HMO OA Standard 2450 - HMO
  • Gym Access IND Bronze POS 1042 - POS
  • Gym Access IND Bronze POS BC 3841 - POS
  • Gym Access IND Bronze POS OA 1211 - POS
  • Gym Access IND Bronze POS OA Standard 2450 - POS
  • Gym Access IND Bronze Standardized HMO - HMO
  • Gym Access IND Gold HMO 4500 - HMO
  • Gym Access IND Gold HMO BC 5651 - HMO
  • Gym Access IND Gold HMO H.S.A 9010 - HMO
  • Gym Access IND Gold HMO OA Standard 3450 - HMO
  • Gym Access IND Gold POS 55001 - POS
  • Gym Access IND Gold POS BC 5651 - POS
  • Gym Access IND Gold POS OA Standard 3450 - POS
  • Gym Access IND Silver HMO BC 0941 - HMO
  • Gym Access IND Silver HMO BC 7741 - HMO
  • Gym Access IND Silver HMO OA 1009 - HMO
  • Gym Access IND Silver HMO OA Standard 1440 - HMO
  • Gym Access IND Silver POS BC 0941 - POS

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

CRAIG DELIGDISH MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(321) 727-2990

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
10D0023780
Facility Type
Physician Office
Certificate Effective Date
July 02, 2023
Certificate Expiration Date
October 31, 2025
Laboratory Director
CRAIG K. DELIGDISH
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Melbourne Medical Laboratory Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that 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 1013353200, we treat the final digit (0) 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

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

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 2 + 3 + 6 + 5 + 6 + 2 + 0 + 24 = 50

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

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1013353200.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Clinic/Center (Ambulatory Surgical)
95 BULLDOG BLVD, STE104
MELBOURNE, FL 32901
Physical Therapist
95 BULLDOG BLVD, STE 200
MELBOURNE, FL 32901
Nutritionist (Nutrition, Education)
95 BULLDOG BLVD, STE 101
MELBOURNE, FL 32901
Registered Nurse
95 BULLDOG BLVD, STE 101
MELBOURNE, FL 32901
General Practice
95 BULLDOG BLVD, SUITE 202
MELBOURNE, FL 32901
Clinic/Center (Ambulatory Surgical)
95 BULLDOG BLVD, SUITE 104
MELBOURNE, FL 32901
Clinical Medical Laboratory
95 BULLDOG BLVD, STE 202
MELBOURNE, FL 32901
Anesthesiology
95 BULLDOG BLVD
MELBOURNE, FL 32901
Home Health
95 BULLDOG BLVD, SUITE 205
MELBOURNE, FL 32901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013353200, enumerated as an "organization" on May 15, 2013.

The provider is located at 95 BULLDOG BLVD SUITE 103 MELBOURNE, FL 32901 and the phone number is (321) 722-1766.

Clinical Medical Laboratory with taxonomy code 291U00000X.

The provider might be accepting Accepts: Florida Health Care Plans. Please consult your insurance carrier or call the provider to verify.