BELLIN HEALTH INDEPENDENT LABS
NPI 1124440839
Clinical Medical Laboratory in Green Bay, WI

NPI Status: Active since January 15, 2014

Contact Information

744 S WEBSTER AVE
GREEN BAY, WI
ZIP 54301
Phone: (920) 445-7226

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  • Organization
  • Clinical Medical Laboratory
  • Accepts Insurance
  • CLIA Number: 52D0394921
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-13-2026

About BELLIN HEALTH INDEPENDENT LABS

This page provides the complete NPI Profile along with additional information for Bellin Health Independent Labs, a provider established in Green Bay, Wisconsin operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1124440839 assigned on January 2014. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Denise K Stroobants (Credentialing Specialist)

NPI
1124440839
Provider Name
BELLIN HEALTH INDEPENDENT LABS
Entity Type
Organization
Location Address
744 S WEBSTER AVE GREEN BAY, WI 54301
Location Phone
(920) 445-7226
Mailing Address
PO BOX 22487 GREEN BAY, WI 54305
Mailing Phone
(920) 445-7210
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-15-2014
Last Update Date
10-18-2021
Code Navigator

Establishments like Bellin Health Independent Labs 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:

  • CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded - EPO
  • CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) - EPO
  • CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Bronze Standard $7500 - EPO
  • CareSource (Common Ground Healthcare) Bronze Standard $7500 - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Gold $0 Ded - EPO
  • CareSource (Common Ground Healthcare) Gold $0 Ded - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Gold $3300 - EPO
  • CareSource (Common Ground Healthcare) Gold $3300 - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Gold Standard $2000 - EPO
  • CareSource (Common Ground Healthcare) Gold Standard $2000 - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - EPO
  • CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded - EPO
  • CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Silver Standard $6000 - EPO
  • CareSource (Common Ground Healthcare) Silver Standard $6000 - Vision Exam - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

DENISE K STROOBANTS

Authorized Official Title
CREDENTIALING SPECIALIST
Authorized Official Phone
(920) 433-7864

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
52D0394921
Facility Type
Physician Office
Certificate Effective Date
February 14, 2024
Certificate Expiration Date
February 13, 2026
Laboratory Director
DR. JAMES W. GAST
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Bellin Health Independent Labs 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 1124440839, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
0
Doubled → 0
Pos 8
8
Unchanged
Pos 9
3
Doubled → 6
Check
9
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 2 → 4 4 → 8 0 → 0 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 4 + 4 + 8 + 4 + 0 + 8 + 6 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1124440839.

Other Providers at the Same Location


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

Anesthesiology
744 S WEBSTER AVE
GREEN BAY, WI 54301
Anesthesiology
744 S WEBSTER AVE
GREEN BAY, WI 54301
Emergency Medicine
744 S WEBSTER AVE
GREEN BAY, WI 54301
Anesthesiology
744 S WEBSTER AVE
GREEN BAY, WI 54301
Emergency Medicine
744 S WEBSTER AVE
GREEN BAY, WI 54301
Emergency Medicine
744 S WEBSTER AVE
GREEN BAY, WI 54301
Emergency Medicine
744 S WEBSTER AVE
GREEN BAY, WI 54301
Anesthesiology
744 S WEBSTER AVE
GREEN BAY, WI 54301
Anesthesiology
744 S WEBSTER AVE
GREEN BAY, WI 54301
Anesthesiology
744 S WEBSTER AVE
GREEN BAY, WI 54301
Anesthesiology
744 S WEBSTER AVE
GREEN BAY, WI 54301
Physician Assistant
744 S WEBSTER AVE
GREEN BAY, WI 54301
Dietitian, Registered
744 S WEBSTER AVE
GREEN BAY, WI 54301
Internal Medicine
744 S WEBSTER AVE
GREEN BAY, WI 54301
Emergency Medicine
744 S WEBSTER AVE
GREEN BAY, WI 54301
Pathology (Anatomic Pathology & Clinical Pathology)
744 S WEBSTER AVE
GREEN BAY, WI 54301
Internal Medicine (Cardiovascular Disease)
744 S WEBSTER AVE
GREEN BAY, WI 54301
Pathology (Anatomic Pathology & Clinical Pathology)
744 S WEBSTER AVE
GREEN BAY, WI 54301
Pathology (Anatomic Pathology & Clinical Pathology)
744 S WEBSTER AVE
GREEN BAY, WI 54301
Pathology (Anatomic Pathology & Clinical Pathology)
744 S WEBSTER AVE
GREEN BAY, WI 54301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124440839, enumerated as an "organization" on January 15, 2014.

The provider is located at 744 S WEBSTER AVE GREEN BAY, WI 54301 and the phone number is (920) 445-7226.

Clinical Medical Laboratory with taxonomy code 291U00000X.

The provider might be accepting Accepts: CareSource (Common Ground Healthcare). Please consult your insurance carrier or call the provider to verify.