MEDEX DIAGNOSTIC AND TREATMENT CENTER LLC
NPI 1083200174
Pathology - Clinical Pathology/Laboratory Medicine in Forest Hills, NY

NPI Status: Active since December 14, 2020

Contact Information

11129 QUEENS BLVD
FOREST HILLS, NY
ZIP 11375
Phone: (718) 275-8900
Fax: (718) 785-0430

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  • Organization
  • Pathology
  • Clinical Pathology/Laboratory Medicine
  • CLIA Number: 33D0933575
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 03-26-2027

About MEDEX DIAGNOSTIC AND TREATMENT CENTER LLC

This page provides the complete NPI Profile along with additional information for Medex Diagnostic And Treatment Center Llc, a provider established in Forest Hills, New York operating as a Pathology, focusing in clinical pathology/laboratory medicine . The healthcare provider is registered in the NPI registry with number 1083200174 assigned on December 2020. The practitioner's primary taxonomy code is 207ZP0105X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Medex Diagnostic And Treatment Center Llc 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 Oleg Aronov (Managing Member)

NPI
1083200174
Provider Name
MEDEX DIAGNOSTIC AND TREATMENT CENTER LLC
Entity Type
Organization
Location Address
11129 QUEENS BLVD FOREST HILLS, NY 11375
Location Phone
(718) 275-8900
Location Fax
(718) 785-0430
Mailing Address
11129 QUEENS BLVD FOREST HILLS, NY 11375
Mailing Phone
(718) 275-8900
Mailing Fax
(718) 785-0430
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-14-2020
Last Update Date
12-14-2020
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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 Clinical Pathology/Laboratory Medicine

Taxonomy Code
207ZP0105X
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.

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.

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

OLEG ARONOV

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(718) 275-8900

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
33D0933575
Facility Type
Community Clinic
Certificate Effective Date
August 03, 2022
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. STANISLAV GRINBERG
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Medex Diagnostic And Treatment Center 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 1083200174, we treat the final digit (4) 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 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

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
8
Doubled → 16 → 1 + 6
Pos 4
3
Unchanged
Pos 5
2
Doubled → 4
Pos 6
0
Unchanged
Pos 7
0
Doubled → 0
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
4
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 8 → 16 → 7 2 → 4 0 → 0 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 + 6 + 3 + 4 + 0 + 0 + 1 + 1 + 4 + 24 = 46

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

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1083200174.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Social Worker
11129 QUEENS BLVD
FOREST HILLS, NY 11375
Radiologic Technologist
11129 QUEENS BLVD
FOREST HILLS, NY 11375
Physical Therapist
11129 QUEENS BLVD
FOREST HILLS, NY 11375
Occupational Therapy Assistant
11129 QUEENS BLVD
FOREST HILLS, NY 11375
Clinic/Center (Multi-Specialty)
11129 QUEENS BLVD
FOREST HILLS, NY 11375
Clinic/Center (Ambulatory Surgical)
11129 QUEENS BLVD
FOREST HILLS, NY 11375
Podiatrist (Foot & Ankle Surgery)
11129 QUEENS BLVD
FOREST HILLS, NY 11375
Clinic/Center
11129 QUEENS BLVD
FOREST HILLS, NY 11375

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083200174, enumerated as an "organization" on December 14, 2020.

The provider is located at 11129 QUEENS BLVD FOREST HILLS, NY 11375 and the phone number is (718) 275-8900.

Pathology with taxonomy code 207ZP0105X and a focus in Clinical Pathology/Laboratory Medicine.