STATE OF FLORIDA
NPI 1093138760
Clinical Medical Laboratory in Jacksonville, FL

NPI Status: Active since January 30, 2014

Contact Information

1217 N PEARL ST
JACKSONVILLE, FL
ZIP 32202
Phone: (904) 791-1559

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  • Organization
  • Clinical Medical Laboratory

About STATE OF FLORIDA

This page provides the complete NPI Profile along with additional information for State Of Florida, a provider established in Jacksonville, Florida operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1093138760 assigned on January 2014. The practitioner's primary taxonomy code is 291U00000X with license number DI003429 (FL). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Dr. Dean Edward Willis Drph (Director)

NPI
1093138760
Provider Name
STATE OF FLORIDA
Entity Type
Organization
Location Address
1217 N PEARL ST JACKSONVILLE, FL 32202
Location Phone
(904) 791-1559
Mailing Address
1217 N PEARL ST JACKSONVILLE, FL 32202
Mailing Phone
(904) 791-1559
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-30-2014
Last Update Date
01-30-2014
Code Navigator

Establishments like State Of Florida 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.

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
License No.
DI003429
License State
FL
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.

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. DEAN EDWARD WILLIS DRPH

Authorized Official Title
DIRECTOR
Authorized Official Phone
(904) 791-1559

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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 1093138760, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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
9
Doubled → 18 → 1 + 8
Pos 4
3
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
7
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
0
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 9 → 18 → 9 1 → 2 8 → 16 → 7 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 8 + 3 + 2 + 3 + 1 + 6 + 7 + 1 + 2 + 24 = 60

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

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

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1093138760.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Clinical Medical Laboratory
1217 N PEARL ST
JACKSONVILLE, FL 32202
Clinical Medical Laboratory
1217 N PEARL ST
JACKSONVILLE, FL 32202
Clinical Medical Laboratory
1217 N PEARL ST
JACKSONVILLE, FL 32202
Clinical Medical Laboratory
1217 N PEARL ST
JACKSONVILLE, FL 32202
Clinical Medical Laboratory
1217 N PEARL ST
JACKSONVILLE, FL 32202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093138760, enumerated as an "organization" on January 30, 2014.

The provider is located at 1217 N PEARL ST JACKSONVILLE, FL 32202 and the phone number is (904) 791-1559.

Clinical Medical Laboratory with taxonomy code 291U00000X.