DR. NICHOLAS M MOORE PHD
NPI 1073017679
Pathology - Clinical Laboratory Director, Non-physician in Chicago, IL

NPI Status: Active since March 20, 2018

Contact Information

1653 W CONGRESS PKWY STE 1173
CHICAGO, IL
ZIP 60612
Phone: (312) 942-3214
Fax: (312) 942-6787

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  • Individual
  • Male
  • Pathology
  • Clinical Laboratory Director, Non-physic...

About NICHOLAS MOORE

This page provides the complete NPI Profile along with additional information for Nicholas Moore, a provider established in Chicago, Illinois with a medical specialization in Pathology, focusing in clinical laboratory director, non-physician . The healthcare provider is registered in the NPI registry with number 1073017679 assigned on March 2018. The practitioner's primary taxonomy code is 247ZC0005X. The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1073017679
Provider Name
DR. NICHOLAS M MOORE PHD
Gender
Male
Entity Type
Individual
Location Address
1653 W CONGRESS PKWY STE 1173 CHICAGO, IL 60612
Location Phone
(312) 942-3214
Location Fax
(312) 942-6787
Mailing Address
1653 W CONGRESS PKWY STE 1173 CHICAGO, IL 60612
Mailing Phone
(312) 942-3214
Mailing Fax
(312) 942-6787
Is Sole Proprietor?
No
Enumeration Date
03-20-2018
Last Update Date
03-20-2018
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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 Clinical Laboratory Director, Non-physician

Taxonomy Code
247ZC0005X
Type
Technologists, Technicians & Other Technical Service Providers
Taxonomy Description
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.

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)
1246QM0706XTechnologists, Technicians & Other Technical Service Providers

Specialist/Technologist, Pathology
Medical Technologist

 

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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 1073017679, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

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
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
1
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
6
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
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 7 → 14 → 5 0 → 0 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 4 + 3 + 0 + 1 + 1 + 4 + 6 + 1 + 4 + 24 = 51

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

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1073017679.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073017679, enumerated as an "individual" on March 20, 2018.

The provider is located at 1653 W CONGRESS PKWY STE 1173 CHICAGO, IL 60612 and the phone number is (312) 942-3214.

Pathology with taxonomy code 247ZC0005X and a focus in Clinical Laboratory Director, Non-physician.