PARKSIDE VILLA - LABORATORY
NPI 1184880577
Clinical Medical Laboratory in Middleburg Heights, OH


Overall Rating: 4 out of 5 stars

NPI Status: Active since August 05, 2008

Contact Information

7040 HEPBURN RD
MIDDLEBURG HEIGHTS, OH
ZIP 44130
Phone: (440) 260-7626

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  • Organization
  • Clinical Medical Laboratory
  • CLIA Number: 36D0991700
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 09-25-2027

About PARKSIDE VILLA - LABORATORY

This page provides the complete NPI Profile along with additional information for Parkside Villa - Laboratory, a provider established in Middleburg Heights, Ohio operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1184880577 assigned on August 2008. The practitioner's primary taxonomy code is 291U00000X with license number 36D0991700 (OH). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Parkside Villa - Laboratory. The authorized official of this NPI record is Mr. Bruce Daskal (Owner)

NPI
1184880577
Provider Legal Name
MIDDLEBURG-LEGACY PLACE, LLC
Other Organization Name
PARKSIDE VILLA - LABORATORY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
7040 HEPBURN RD MIDDLEBURG HEIGHTS, OH 44130
Location Phone
(440) 260-7626
Mailing Address
7040 HEPBURN RD MIDDLEBURG HEIGHTS, OH 44130
Mailing Phone
(440) 260-7626
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-05-2008
Last Update Date
08-05-2008
Code Navigator

Establishments like Parkside Villa - Laboratory 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.

According to the Nursing Home Compare program data, Parkside Villa - Laboratory has an above average overall quality rating based on the provider's performance on three separate measures including: health inspections, staffing, and quality of resident care information. These quality measures, combined in a star rating of 4 out of 5 stars provide a snapshot of this nursing home 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
License No.
36D0991700
License State
OH
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

MR. BRUCE DASKAL

Authorized Official Title
OWNER
Authorized Official Phone
(440) 260-7626

Nursing Home Quality Information

The Centers for Medicare and Medicaid Services publishes the Nursing Home Compare star rating data to provide consumers an easy way to compare nursing home's quality of care.

Overall Quality Rating - 4 out of 5 stars - Above Average
The overall star rating is based on a nursing homes's performance on health inspections, staffing and quality measures.
Health Inspection RatingNot Available
The health inspection star rating is based on a nursing home’s weighted score from the most recent health inspections.
Quality Measures Rating - 5 out of 5 stars - Much Above Average
The quality measures star rating is based on data from a select set of clinical measures.
Long-Stay Quality Measures Rating - 5 out of 5 stars - Much Above Average
The long-stay quality of care rating is based on the quality of care delivered to long-term residents only.
Short-Stay Quality Measures Rating - 5 out of 5 stars - Much Above Average
The short-stay quality of care rating is based on the quality of care delivered to temporary residents only.
Staffing Rating - 1 out of 5 stars - Much Below Average
The staffing rating is based on the star rating based on the nursing home’s staffing hours for Registered Nurses (RNs), Licensed Practice Nurses (LPNs), Licensed Vocational Nurses (LVNs) and Nurse aides.
*This facility either did not submit staffing data, has reported a high number of days without a registered nurse onsite, or submitted data that could not be verified through an audit.
Nurse Aide Staffing Hours0 hours per resident per day
Nurse aide hours per resident per day. Higher number of hours are better.
RN Staffing Hours0 hours per resident per day
Resgistered nurse hours per resident per day. Higher number of hours are better.
Ownership TypeFor profit - Corporation
Is the facility private for profit, not-for profit or publicly owned.
Number of Certified Beds178 beds
Number of beds in the nursing home that have been approved by the federal government to participate in the Medicare or Medicaid programs.
Residents per Day152 residents
Average number of residents living in the facility per day.
Automatic Sprinkler SystemsYes
Does the facility have automatic sprinkler systems in all required areas?
Facility Reported Incidents0 incidents
Number of facility-reported incidents in the past 3 years. A lower number is better.
Substantiated Complaints7 complaints
Number of substantiated complaints in the past 3 years. A lower number is better.
Citations from Inspections0 citations after infection control inspection
Number of citations from infection control inspections in the past 3 years. A lower number is better.
Total Number of Penalties2 penalties from a serious health, fire safety or long-term unresolved citation
The Medicare program may impose penalties on a facilty when there's serious health or fire safety citations or if the facility fails to correct a citation for a long period of time.
Number of Fines2 fines
Toal number of fines in the last 3 years. A penalty can be a fine against the facility or denied payments from Medicare.
Amount of Fines$10400.00
Total monetary amount of fine imposed on the facility in the last 3 years.

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
36D0991700
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 26, 2025
Certificate Expiration Date
September 25, 2027
Laboratory Director
CONNIE MONACHINO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Parkside Villa - Laboratory to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1184880577, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
8
Doubled → 16 → 1 + 6
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
5
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
7
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 8 → 16 → 7 8 → 16 → 7 0 → 0 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 6 + 4 + 1 + 6 + 8 + 0 + 5 + 1 + 4 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1184880577.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Occupational Therapy Assistant
7040 HEPBURN RD
CLEVELAND, OH 44130
Psychologist
7040 HEPBURN RD
MIDDLEBURG HTS, OH 44130
Psychologist
7040 HEPBURN RD
CLEVELAND, OH 44130
Skilled Nursing Facility
7040 HEPBURN RD
CLEVELAND, OH 44130
Assisted Living Facility
7040 HEPBURN RD
MIDDLEBURG HEIGHTS, OH 44130
Occupational Therapist
7040 HEPBURN RD
MIDDLEBURG HEIGHTS, OH 44130
Physician Assistant
7040 HEPBURN RD
MIDDLEBURG HEIGHTS, OH 44130

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184880577, enumerated as an "organization" on August 05, 2008.

The provider is located at 7040 HEPBURN RD MIDDLEBURG HEIGHTS, OH 44130 and the phone number is (440) 260-7626.

Clinical Medical Laboratory with taxonomy code 291U00000X.