PGR GASTRO LLC
NPI 1073106639
Pathology - Anatomic Pathology & Clinical Pathology in Valley Stream, NY
NPI Status: Active since February 15, 2021
Contact Information
774 DUMONT PL
VALLEY STREAM, NY
ZIP 11581
Phone: (718) 979-9790
Fax: (718) 979-9798
- Organization
- Pathology
- Anatomic Pathology & Clinical Pathology
- CLIA Number: 33D2177176
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-26-2027
About PGR GASTRO LLC
This page provides the complete NPI Profile along with additional information for Pgr Gastro Llc, a provider established in Valley Stream, New York operating as a Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1073106639 assigned on February 2021. The practitioner's primary taxonomy code is 207ZP0102X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Ross Brown (Credentialing Ex)
- NPI
- 1073106639
- Provider Name
- PGR GASTRO LLC
- Entity Type
- Organization
- Location Address
- 774 DUMONT PL VALLEY STREAM, NY 11581
- Location Phone
- (718) 979-9790
- Location Fax
- (718) 979-9798
- Mailing Address
- 457 ALTER AVE STATEN ISLAND, NY 10305
- Mailing Phone
- (718) 979-9790
- Mailing Fax
- (718) 979-9798
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-15-2021
- Last Update Date
- 07-25-2023
- 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) |
|---|---|---|---|---|
| 1 | 261QE0800X | Ambulatory Health Care Facilities | Clinic/Center |
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
- 33D2177176
- Facility Type
- Physician Office
- Certificate Effective Date
- January 07, 2020
- Certificate Expiration Date
- March 26, 2027
- Laboratory Director
- IMRANA M. ALI
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Pgr Gastro Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that 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 1073106639, 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.
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 51 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073106639, enumerated as an "organization" on February 15, 2021.
The provider is located at 774 DUMONT PL VALLEY STREAM, NY 11581 and the phone number is (718) 979-9790.
Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.
