WATERTOWN PATHOLOGY PC
NPI 1114966892
Pathology - Anatomic Pathology & Clinical Pathology in Watertown, SD

NPI Status: Active since June 06, 2006

Contact Information

401 9TH AVE NW
WATERTOWN, SD
ZIP 57201
Phone: (605) 882-7000

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  • Organization
  • Pathology
  • Anatomic Pathology & Clinical Pathology
  • CLIA Number: 43D1107504
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 05-22-2026

About WATERTOWN PATHOLOGY PC

This page provides the complete NPI Profile along with additional information for Watertown Pathology Pc, a provider established in Watertown, South Dakota operating as a Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1114966892 assigned on June 2006. The practitioner's primary taxonomy code is 207ZP0102X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Edward Lyle Wegner Md (President)

NPI
1114966892
Provider Name
WATERTOWN PATHOLOGY PC
Entity Type
Organization
Location Address
401 9TH AVE NW WATERTOWN, SD 57201
Location Phone
(605) 882-7000
Mailing Address
PO BOX 875 WATERTOWN, SD 57201
Mailing Phone
(605) 882-7000
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-06-2006
Last Update Date
08-22-2020
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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 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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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

EDWARD LYLE WEGNER MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(605) 882-7749

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
43D1107504
Facility Type
Community Clinic
Certificate Effective Date
November 06, 2009
Certificate Expiration Date
May 22, 2026
Laboratory Director
JERRY SAN DIEGO
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Watertown Pathology Pc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha 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 1114966892, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 2 + 4 + 1 + 8 + 6 + 1 + 2 + 8 + 1 + 8 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1114966892.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pathology (Anatomic Pathology & Clinical Pathology)
401 9TH AVE NW
WATERTOWN, SD 57201
Occupational Therapist
401 9TH AVE NW
WATERTOWN, SD 57201
Nurse Anesthetist, Certified Registered
401 9TH AVE NW
WATERTOWN, SD 57201
Nurse Anesthetist, Certified Registered
401 9TH AVE NW
WATERTOWN, SD 57201
Radiology (Radiation Oncology)
401 9TH AVE NW
WATERTOWN, SD 57201
Nurse Anesthetist, Certified Registered
401 9TH AVE NW
WATERTOWN, SD 57201
Physician Assistant (Surgical)
401 9TH AVE NW
WATERTOWN, SD 57201
Physician Assistant (Surgical)
401 9TH AVE NW
WATERTOWN, SD 57201
Nurse Anesthetist, Certified Registered
401 9TH AVE NW
WATERTOWN, SD 57201
Orthopaedic Surgery
401 9TH AVE NW
WATERTOWN, SD 57201
Pharmacist
401 9TH AVE NW
WATERTOWN, SD 57201
Supports Brokerage
401 9TH AVE NW
WATERTOWN, SD 57201
Dietitian, Registered
401 9TH AVE NW
WATERTOWN, SD 57201
Nurse Anesthetist, Certified Registered
401 9TH AVE NW
WATERTOWN, SD 57201
Nurse Practitioner (Family)
401 9TH AVE NW
WATERTOWN, SD 57201
Nurse Anesthetist, Certified Registered
401 9TH AVE NW
WATERTOWN, SD 57201
Specialist/Technologist (Speech-Language Assistant)
401 9TH AVE NW
WATERTOWN, SD 57201
Occupational Therapist
401 9TH AVE NW
WATERTOWN, SD 57201
Occupational Therapist
401 9TH AVE NW
WATERTOWN, SD 57201
Occupational Therapist
401 9TH AVE NW
WATERTOWN, SD 57201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114966892, enumerated as an "organization" on June 06, 2006.

The provider is located at 401 9TH AVE NW WATERTOWN, SD 57201 and the phone number is (605) 882-7000.

Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.