LIFELINE MEDICAL LABORATORY INCORPORATED
NPI 1083189088
Clinical Medical Laboratory in North Hollywood, CA
NPI Status: Active since October 05, 2018
Contact Information
10509 BURBANK BLVD
NORTH HOLLYWOOD, CA
ZIP 91601
Phone: (818) 579-4220
Fax: (818) 301-1916
- Organization
- Clinical Medical Laboratory
- CLIA Number: 05D1039663
- CLIA Cert. Type: Independent
- CLIA Exp. Date: 10-20-2027
About LIFELINE MEDICAL LABORATORY INCORPORATED
This page provides the complete NPI Profile along with additional information for Lifeline Medical Laboratory Incorporated, a provider established in North Hollywood, California operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1083189088 assigned on October 2018. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Juan Robles (Owner)
- NPI
- 1083189088
- Provider Name
- LIFELINE MEDICAL LABORATORY INCORPORATED
- Entity Type
- Organization
- Location Address
- 10509 BURBANK BLVD NORTH HOLLYWOOD, CA 91601
- Location Phone
- (818) 579-4220
- Location Fax
- (818) 301-1916
- Mailing Address
- 10509 BURBANK BLVD NORTH HOLLYWOOD, CA 91601
- Mailing Phone
- (818) 579-4220
- Mailing Fax
- (818) 301-1916
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-05-2018
- Last Update Date
- 06-02-2019
- Code Navigator
Establishments like Lifeline Medical Laboratory Incorporated are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.
Clinical labs in the U.S. that perform human testing are regulated by the Centers for Medicare & Medicaid Services (CMS) through the Clinical Laboratory Improvement Amendments (CLIA) program. The purpose of the CLIA program is to guarantee the quality of laboratory testing. This provider has a CLIA number assigned, and undergoes regular inspections to ensure compliance and quality.
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
Clinical Medical Laboratory
- Taxonomy Code
- 291U00000X
- Type
- Laboratories
- Taxonomy Description
- (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
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.
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 |
|---|---|---|---|
| CLF00333135 | OTHER (01) | CA | CLINICAL LABORATORY LICENSE |
| O5D1039663 | OTHER (01) | CA | CLIA |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Detection test by nucleic acid for multiple types of respiratory virus, multiple types or subtypes, 3-5 targets
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms
Identification of organisms by genetic analysis, amplified probe technique
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r
Testing for presence of drug, by chemistry analyzers
Urine chloride level
Urine microalbumin (protein) level
Urine potassium level
Urine sodium level
This test identifies different respiratory viruses by examining their nucleic acid, the building blocks of their genetic material. It can detect multiple types or subtypes, specifically 3-5 targets. This helps in diagnosing your respiratory illness accurately.
This service was performed 621 times for 468 patientsA definitive drug test identifies specific drugs in your system. It uses advanced methods like gc/ms and lc/ms, which can distinguish between different types of drugs but not necessarily their 3D forms. This test offers detailed results to support your healthcare decisions.
This service was performed 7,706 times for 4,703 patientsThis procedure involves identifying organisms like bacteria or viruses in your body. It's done by amplifying a small part of their genetic material, making it easier to detect. This technique helps in accurate diagnosis and appropriate treatment.
This service was performed 4,356 times for 471 patientsThis is a test to detect the COVID-19 virus. It uses a technique that amplifies the virus's genetic material (DNA or RNA) for detection. High throughput technologies are used for rapid and large-scale testing. The procedure is completed within a set time frame.
This service was performed 78 times for 15 patientsThis is a test for COVID-19. It uses high-tech methods to find the virus's genetic material in your body. The amplified probe technique helps detect the virus even in small amounts. This is crucial for early detection and effective treatment.
This service was performed 95 times for 19 patientsChemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
This service was performed 7,731 times for 5,138 patientsThe urine chloride level test measures the amount of chloride in your urine. Chloride is a type of electrolyte that helps balance the amount of fluid in your body and maintain proper blood volume, blood pressure, and pH of your body fluids. This test helps identify any potential kidney or adrenal gland issues.
This service was performed 11,493 times for 6,442 patientsThe urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.
This service was performed 11,409 times for 6,390 patientsA urine potassium level test measures the amount of potassium in your urine. Potassium is a key nutrient that helps your nerves and muscles function properly. Too much or too little can cause health issues. This test aids in diagnosing those conditions.
This service was performed 11,535 times for 6,453 patientsA urine sodium level test measures the amount of sodium in your urine. Sodium is a key element that helps regulate water balance in your body. This test helps assess how your kidneys are functioning and can identify potential health issues.
This service was performed 11,535 times for 6,453 patientsCLIA 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
- 05D1039663
- Facility Type
- Independent
- Certificate Effective Date
- October 21, 2025
- Certificate Expiration Date
- October 20, 2027
- Laboratory Director
- BENJAMIN VICTOR, MD
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Lifeline Medical Laboratory Incorporated 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 1083189088, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
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 62 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083189088, enumerated as an "organization" on October 05, 2018.
The provider is located at 10509 BURBANK BLVD NORTH HOLLYWOOD, CA 91601 and the phone number is (818) 579-4220.
Clinical Medical Laboratory with taxonomy code 291U00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
