KENOSHA VASCULAR LAB INC
NPI 1033246152
Specialist in Kenosha, WI
NPI Status: Active since February 27, 2007
Contact Information
6308 8TH AVE
SUITE 301
KENOSHA, WI
ZIP 53143
Phone: (262) 656-8265
Fax: (262) 656-8273
- Organization
- Specialist
- CLIA Number: 52D1024853
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 05-22-2026
About KENOSHA VASCULAR LAB INC
This page provides the complete NPI Profile along with additional information for Kenosha Vascular Lab Inc, a provider established in Kenosha, Wisconsin operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1033246152 assigned on February 2007. The practitioner's primary taxonomy code is 174400000X with license number 22193 (WI). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Robert G Cook (President)
- NPI
- 1033246152
- Provider Name
- KENOSHA VASCULAR LAB INC
- Entity Type
- Organization
- Location Address
- 6308 8TH AVE SUITE 301 KENOSHA, WI 53143
- Location Phone
- (262) 656-8265
- Location Fax
- (262) 656-8273
- Mailing Address
- 6308 8TH AVE SUITE 301 KENOSHA, WI 53143
- Mailing Phone
- (262) 656-8265
- Mailing Fax
- (262) 656-8273
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-27-2007
- Last Update Date
- 08-22-2020
- 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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 22193
- License State
- WI
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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
- 52D1024853
- Facility Type
- Community Clinic
- Certificate Effective Date
- April 22, 2004
- Certificate Expiration Date
- May 22, 2026
- Laboratory Director
- JOSHUA BUSS
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Kenosha Vascular Lab Inc 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 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 1033246152, we treat the final digit (2) 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 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).
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 48 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
KENOSHA, WI 53143
KENOSHA, WI 53143
KENOSHA, WI 53143
KENOSHA, WI 53143
KENOSHA, WI 53143
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033246152, enumerated as an "organization" on February 27, 2007.
The provider is located at 6308 8TH AVE SUITE 301 KENOSHA, WI 53143 and the phone number is (262) 656-8265.
Specialist with taxonomy code 174400000X.
