AFFINITY SPECIALTY LAB & X-RAY
NPI 1104274075
Clinical Medical Laboratory in Monroe, LA

NPI Status: Active since June 01, 2016

Contact Information

2516 BROADMOOR BOULEVARD
SUITE 1C
MONROE, LA
ZIP 71201
Phone: (318) 807-4710
Fax: (318) 361-2195

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  • Organization
  • Clinical Medical Laboratory
  • CLIA Number: 19D0684544
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-29-2027

About AFFINITY SPECIALTY LAB & X-RAY

This page provides the complete NPI Profile along with additional information for Affinity Specialty Lab & X-ray, a provider established in Monroe, Louisiana operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1104274075 assigned on June 2016. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Affinity Specialty Lab & X-ray. The authorized official of this NPI record is Ms. Janet Justice (Director Of Operations)

NPI
1104274075
Provider Legal Name
AFFINITY HEALTH GROUP, LLC
Other Organization Name
AFFINITY SPECIALTY LAB & X-RAY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2516 BROADMOOR BOULEVARD SUITE 1C MONROE, LA 71201
Location Phone
(318) 807-4710
Location Fax
(318) 361-2195
Mailing Address
130 DESIARD ST SUITE 355 MONROE, LA 71201
Mailing Phone
(318) 807-7875
Mailing Fax
(318) 361-2195
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-01-2016
Last Update Date
06-01-2016
Code Navigator

Establishments like Affinity Specialty Lab & X-ray 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.

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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

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.

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

MS. JANET JUSTICE

Authorized Official Title
DIRECTOR OF OPERATIONS
Authorized Official Phone
(318) 807-7875

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
19D0684544
Facility Type
Physician Office
Certificate Effective Date
April 30, 2025
Certificate Expiration Date
April 29, 2027
Laboratory Director
DAVID YARBROUGH
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Affinity Specialty Lab & X-ray 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 Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104274075
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2104478014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 4 + 7 + 8 + 0 + 1 + 4 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1104274075 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104274075, enumerated as an "organization" on June 01, 2016.

The provider is located at 2516 BROADMOOR BOULEVARD SUITE 1C MONROE, LA 71201 and the phone number is (318) 807-4710.

Clinical Medical Laboratory with taxonomy code 291U00000X.