GRAND TETON DIAGNOSTICS CORP
NPI 1023880861
Clinical Medical Laboratory in Richardson, TX
NPI Status: Active since October 25, 2023
Contact Information
1701 N COLLINS BLVD STE 1000
RICHARDSON, TX
ZIP 75080
Phone: (999) 999-9999
- Organization
- Clinical Medical Laboratory
- CLIA Number: 45D2291673
- CLIA Cert. Type: Independent
- CLIA Exp. Date: 12-23-2026
About GRAND TETON DIAGNOSTICS CORP
This page provides the complete NPI Profile along with additional information for Grand Teton Diagnostics Corp, a provider established in Richardson, Texas operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1023880861 assigned on October 2023. The practitioner's primary taxonomy code is 291U00000X. 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 Mr. Justin Peterson (Ceo)
- NPI
- 1023880861
- Provider Name
- GRAND TETON DIAGNOSTICS CORP
- Entity Type
- Organization
- Location Address
- 1701 N COLLINS BLVD STE 1000 RICHARDSON, TX 75080
- Location Phone
- (999) 999-9999
- Mailing Address
- 1701 N COLLINS BLVD STE 1000 RICHARDSON, TX 75080
- Mailing Phone
- (999) 999-9999
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-25-2023
- Last Update Date
- 10-25-2023
- Code Navigator
Establishments like Grand Teton Diagnostics Corp 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.
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
- 45D2291673
- Facility Type
- Independent
- Certificate Effective Date
- December 24, 2024
- Certificate Expiration Date
- December 23, 2026
- Laboratory Director
- DR. TONY BELTRAN
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Grand Teton Diagnostics Corp 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 Validation Check Digit Calculation
The following table explains the step by step 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. | |||||||||
| 1 | 0 | 2 | 3 | 8 | 8 | 0 | 8 | 6 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 4 | 3 | 16 | 8 | 0 | 8 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 4 + 3 + 1 + 6 + 8 + 0 + 8 + 1 + 2 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1023880861 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023880861, enumerated as an "organization" on October 25, 2023.
The provider is located at 1701 N COLLINS BLVD STE 1000 RICHARDSON, TX 75080 and the phone number is (999) 999-9999.
Clinical Medical Laboratory with taxonomy code 291U00000X.
