MEDICAL LABORATORY SERVICES MEDICAL GROUP, INC.
NPI 1063477461
Pathology - Anatomic Pathology & Clinical Pathology in Wildomar, CA

NPI Status: Active since April 19, 2006

Contact Information

36485 INLAND VALLEY DR
WILDOMAR, CA
ZIP 92595
Phone: (760) 731-3334

Get Directions Write a Review

  • Organization
  • Pathology
  • Anatomic Pathology & Clinical Pathology

About MEDICAL LABORATORY SERVICES MEDICAL GROUP, INC.

This page provides the complete NPI Profile along with additional information for Medical Laboratory Services Medical Group, Inc., a provider established in Wildomar, California operating as a Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1063477461 assigned on April 2006. The practitioner's primary taxonomy code is 207ZP0102X. The provider is registered as an organization and their NPI record was last updated 17 years ago. Medical Laboratory Services Medical Group, Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Ernest N Holburt Md (President)

NPI
1063477461
Provider Name
MEDICAL LABORATORY SERVICES MEDICAL GROUP, INC.
Entity Type
Organization
Location Address
36485 INLAND VALLEY DR WILDOMAR, CA 92595
Location Phone
(760) 731-3334
Mailing Address
PO BOX 10076 VAN NUYS, CA 91410
Mailing Phone
(805) 578-8300
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-19-2006
Last Update Date
08-20-2009
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

Pathology Anatomic Pathology & Clinical Pathology

Taxonomy Code
207ZP0102X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

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)
1207ZC0500XAllopathic & Osteopathic Physicians

Pathology
Cytopathology

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

ERNEST N HOLBURT MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(760) 731-3334

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
GR0092911MEDICAID (05)CA 
ZZZ07698ZMEDICARE PIN (08)CA 

Reviews for MEDICAL LABORATORY SERVICES MEDICAL GROUP, INC.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1063477461, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
4
Doubled → 8
Pos 6
7
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
1
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 4 → 8 7 → 14 → 5 6 → 12 → 3

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 + 8 + 7 + 1 + 4 + 4 + 1 + 2 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1063477461.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant
36485 INLAND VALLEY DR
WILDOMAR, CA 92595
Emergency Medicine
36485 INLAND VALLEY DR
WILDOMAR, CA 92595
Physician Assistant
36485 INLAND VALLEY DR
WILDOMAR, CA 92595
Emergency Medicine
36485 INLAND VALLEY DR
WILDOMAR, CA 92595
Emergency Medicine
36485 INLAND VALLEY DR
WILDOMAR, CA 92595
Physical Therapist
36485 INLAND VALLEY DR
WILDOMAR, CA 92595
Anesthesiology
36485 INLAND VALLEY DR
WILDOMAR, CA 92595
Emergency Medicine
36485 INLAND VALLEY DR
WILDOMAR, CA 92595
Emergency Medicine
36485 INLAND VALLEY DR
WILDOMAR, CA 92595
Emergency Medicine
36485 INLAND VALLEY DR
WILDOMAR, CA 92595
Physician Assistant
36485 INLAND VALLEY DR
WILDOMAR, CA 92595
Respiratory Therapist, Registered (General Care)
36485 INLAND VALLEY DR
WILDOMAR, CA 92595
Emergency Medicine
36485 INLAND VALLEY DR
WILDOMAR, CA 92595
Hospitalist
36485 INLAND VALLEY DR
WILDOMAR, CA 92595
Physician Assistant
36485 INLAND VALLEY DR
WILDOMAR, CA 92595
Emergency Medicine
36485 INLAND VALLEY DR
WILDOMAR, CA 92595
Internal Medicine
36485 INLAND VALLEY DR
WILDOMAR, CA 92595
Internal Medicine
36485 INLAND VALLEY DR
WILDOMAR, CA 92595
Radiology (Diagnostic Radiology)
36485 INLAND VALLEY DR
WILDOMAR, CA 92595
Physical Therapist
36485 INLAND VALLEY DR
WILDOMAR, CA 92595

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063477461, enumerated as an "organization" on April 19, 2006.

The provider is located at 36485 INLAND VALLEY DR WILDOMAR, CA 92595 and the phone number is (760) 731-3334.

Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.