IDESTA MEDICAL INC
NPI 1063185015
Technician, Pathology - Phlebotomy in College Park, GA

NPI Status: Active since July 27, 2021

Contact Information

4827 OLD NATIONAL HWY UNIT 2032
COLLEGE PARK, GA
ZIP 30337
Phone: (239) 895-7910
Fax: (866) 984-3729

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  • Organization
  • Technician, Pathology
  • Phlebotomy

About IDESTA MEDICAL INC

This page provides the complete NPI Profile along with additional information for Idesta Medical Inc, a provider established in College Park, Georgia operating as a Technician, Pathology, focusing in phlebotomy . The healthcare provider is registered in the NPI registry with number 1063185015 assigned on July 2021. The practitioner's primary taxonomy code is 246RP1900X. The provider is registered as an organization and their NPI record was last updated 2 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 Idesta Ralph (Owner)

NPI
1063185015
Provider Name
IDESTA MEDICAL INC
Entity Type
Organization
Location Address
4827 OLD NATIONAL HWY UNIT 2032 COLLEGE PARK, GA 30337
Location Phone
(239) 895-7910
Location Fax
(866) 984-3729
Mailing Address
4827 OLD NATIONAL HWY UNIT 2032 COLLEGE PARK, GA 30337
Mailing Phone
(239) 895-7910
Mailing Fax
(866) 984-3729
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-27-2021
Last Update Date
11-12-2024
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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

Technician, Pathology Phlebotomy

Taxonomy Code
246RP1900X
Type
Technologists, Technicians & Other Technical Service Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207ZB0001XAllopathic & Osteopathic Physicians

Pathology
Blood Banking & Transfusion Medicine

 
2261Q00000XAmbulatory Health Care Facilities

Clinic/Center

 

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.

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

IDESTA RALPH

Authorized Official Title
OWNER
Authorized Official Phone
(239) 895-7910

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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 1063185015, we treat the final digit (5) 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 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).

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
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
1
Doubled → 2
Pos 6
8
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
Check
5
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 6 → 12 → 3 1 → 2 5 → 10 → 1 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 2 + 3 + 2 + 8 + 1 + 0 + 0 + 2 + 24 = 45

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

The next multiple of ten after 45 is 50. The difference is the calculated check digit.

50 - 45 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1063185015.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063185015, enumerated as an "organization" on July 27, 2021.

The provider is located at 4827 OLD NATIONAL HWY UNIT 2032 COLLEGE PARK, GA 30337 and the phone number is (239) 895-7910.

Technician, Pathology with taxonomy code 246RP1900X and a focus in Phlebotomy.