JACKY LU PHD, D(ABMM)
NPI 1174484562
Specialist/Technologist, Pathology - Microbiology in Minneapolis, MN

NPI Status: Active since November 24, 2025

Contact Information

420 DELAWARE ST SE
MINNEAPOLIS, MN
ZIP 55455
Phone: (415) 837-3699

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  • Individual
  • Male
  • Specialist/Technologist, Pathology
  • Microbiology

About JACKY LU

This page provides the complete NPI Profile along with additional information for Jacky Lu, a provider established in Minneapolis, Minnesota with a medical specialization in Specialist/technologist, Pathology, focusing in microbiology . The healthcare provider is registered in the NPI registry with number 1174484562 assigned on November 2025. The practitioner's primary taxonomy code is 246QM0900X. The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1174484562
Provider Name
JACKY LU PHD, D(ABMM)
Gender
Male
Entity Type
Individual
Location Address
420 DELAWARE ST SE MINNEAPOLIS, MN 55455
Location Phone
(415) 837-3699
Mailing Address
22 ROSA PARKS LN SAN FRANCISCO, CA 94103
Is Sole Proprietor?
No
Enumeration Date
11-24-2025
Last Update Date
11-24-2025
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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

Specialist/Technologist, Pathology Microbiology

Taxonomy Code
246QM0900X
Type
Technologists, Technicians & Other Technical Service Providers

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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 1174484562, 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
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
8
Unchanged
Pos 7
4
Doubled → 8
Pos 8
5
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
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 7 → 14 → 5 4 → 8 4 → 8 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 4 + 4 + 8 + 8 + 8 + 5 + 1 + 2 + 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 1174484562.

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420 DELAWARE ST SE
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420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Nurse Anesthetist, Certified Registered
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Nurse Anesthetist, Certified Registered
420 DELAWARE ST SE
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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174484562, enumerated as an "individual" on November 24, 2025.

The provider is located at 420 DELAWARE ST SE MINNEAPOLIS, MN 55455 and the phone number is (415) 837-3699.

Specialist/Technologist, Pathology with taxonomy code 246QM0900X and a focus in Microbiology.