MIDDLESEX LABORATORY PHYSICIANS, LLC
NPI 1063963791
Pathology - Anatomic Pathology & Clinical Pathology in Middletown, CT

NPI Status: Active since October 18, 2016

Contact Information

28 CRESCENT ST
MIDDLETOWN, CT
ZIP 06457
Phone: (860) 358-6160

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  • Organization
  • Pathology
  • Anatomic Pathology & Clinical Pathology
  • CLIA Number: 07D2180448
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 03-15-2026

About MIDDLESEX LABORATORY PHYSICIANS, LLC

This page provides the complete NPI Profile along with additional information for Middlesex Laboratory Physicians, Llc, a provider established in Middletown, Connecticut operating as a Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1063963791 assigned on October 2016. The practitioner's primary taxonomy code is 207ZP0102X. The provider is registered as an organization and their NPI record was last updated 10 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. Jonathan D Levine M.d. (President)

NPI
1063963791
Provider Name
MIDDLESEX LABORATORY PHYSICIANS, LLC
Entity Type
Organization
Location Address
28 CRESCENT ST MIDDLETOWN, CT 06457
Location Phone
(860) 358-6160
Mailing Address
PO BOX 1613 NEW HAVEN, CT 06506
Mailing Phone
(860) 358-6160
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-18-2016
Last Update Date
10-18-2016
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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

Pathology Anatomic Pathology & Clinical Pathology

Taxonomy Code
207ZP0102X
Type
Allopathic & Osteopathic Physicians
License State
CT
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.

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

DR. JONATHAN D LEVINE M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(860) 358-6160

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
07D2180448
Facility Type
Practitioner Other
Certificate Effective Date
March 16, 2024
Certificate Expiration Date
March 15, 2026
Laboratory Director
ANTHONY J. ONOFREO DMD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Middlesex Laboratory Physicians, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1063963791, 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 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
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
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 9 → 18 → 9 3 → 6 9 → 18 → 9

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 + 1 + 8 + 6 + 6 + 7 + 1 + 8 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1063963791.

Other Providers at the Same Location


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

Physician Assistant (Medical)
28 CRESCENT ST
MIDDLETOWN, CT 06457
Physician Assistant (Medical)
28 CRESCENT ST
MIDDLETOWN, CT 06457
Psychiatry & Neurology (Psychiatry)
28 CRESCENT ST
MIDDLETOWN, CT 06457
Physician Assistant (Medical)
28 CRESCENT ST, AMELIA BALDWIN, ENROLLMENT COORDINATOR
MIDDLETOWN, CT 06457
Internal Medicine
28 CRESCENT ST
MIDDLETOWN, CT 06457
Internal Medicine
28 CRESCENT ST
MIDDLETOWN, CT 06457
Emergency Medicine
28 CRESCENT ST
MIDDLETOWN, CT 06457
Emergency Medicine
28 CRESCENT ST
MIDDLETOWN, CT 06457
Emergency Medicine
28 CRESCENT ST
MIDDLETOWN, CT 06457
Emergency Medicine
28 CRESCENT ST
MIDDLETOWN, CT 06457
Emergency Medicine
28 CRESCENT ST
MIDDLETOWN, CT 06457
Emergency Medicine
28 CRESCENT ST
MIDDLETOWN, CT 06457
Psychiatry & Neurology (Child & Adolescent Psychiatry)
28 CRESCENT ST, FAMILY ADVOCACY
MIDDLETOWN, CT 06457
Emergency Medicine
28 CRESCENT ST
MIDDLETOWN, CT 06457
Emergency Medicine
28 CRESCENT ST
MIDDLETOWN, CT 06457
Physician Assistant (Medical)
28 CRESCENT ST
MIDDLETOWN, CT 06457
Physician Assistant (Medical)
28 CRESCENT ST
MIDDLETOWN, CT 06457
Emergency Medicine
28 CRESCENT ST
MIDDLETOWN, CT 06457
Physician Assistant (Medical)
28 CRESCENT ST
MIDDLETOWN, CT 06457
Emergency Medicine
28 CRESCENT ST
MIDDLETOWN, CT 06457

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063963791, enumerated as an "organization" on October 18, 2016.

The provider is located at 28 CRESCENT ST MIDDLETOWN, CT 06457 and the phone number is (860) 358-6160.

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