HEALTHSTAT ONSITE CLINC AMSTED BAC MILFORD
NPI 1194178707
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Milford, DE

NPI Status: Active since July 19, 2016

Contact Information

1162 HOLLY HILL RD
MILFORD, DE
ZIP 19963
Phone: (704) 936-5546

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  • Organization
  • Preventive Medicine
  • Preventive Medicine/Occupational Environ...
  • CLIA Number: 08D2039824
  • CLIA Cert. Type: Other - CHONIC MGT
  • CLIA Exp. Date: 04-17-2028

About HEALTHSTAT ONSITE CLINC AMSTED BAC MILFORD

This page provides the complete NPI Profile along with additional information for Healthstat Onsite Clinc Amsted Bac Milford, a provider established in Milford, Delaware operating as a Preventive Medicine, focusing in preventive medicine/occupational environmental medicine . The healthcare provider is registered in the NPI registry with number 1194178707 assigned on July 2016. The practitioner's primary taxonomy code is 2083P0500X. The provider is registered as an organization and their NPI record was last updated 10 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 Warren Hutton (Coo)

NPI
1194178707
Provider Name
HEALTHSTAT ONSITE CLINC AMSTED BAC MILFORD
Entity Type
Organization
Location Address
1162 HOLLY HILL RD MILFORD, DE 19963
Location Phone
(704) 936-5546
Mailing Address
4651 CHARLOTTE PARK DR SUITE 300 CHARLOTTE, NC 28217
Mailing Phone
(704) 529-6161
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-19-2016
Last Update Date
07-19-2016
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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

Preventive Medicine Preventive Medicine/Occupational Environmental Medicine

Taxonomy Code
2083P0500X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

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

WARREN HUTTON

Authorized Official Title
COO
Authorized Official Phone
(704) 529-6161

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
08D2039824
Facility Type
Other - CHONIC MGT
Certificate Effective Date
April 18, 2026
Certificate Expiration Date
April 17, 2028
Laboratory Director
DR. TERRY LAYMAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Healthstat Onsite Clinc Amsted Bac Milford 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 1194178707, 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
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
7
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
7
Unchanged
Pos 9
0
Doubled → 0
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 9 → 18 → 9 1 → 2 8 → 16 → 7 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 8 + 4 + 2 + 7 + 1 + 6 + 7 + 0 + 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 1194178707.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner (Family)
1162 HOLLY HILL RD
MILFORD, DE 19963

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194178707, enumerated as an "organization" on July 19, 2016.

The provider is located at 1162 HOLLY HILL RD MILFORD, DE 19963 and the phone number is (704) 936-5546.

Preventive Medicine with taxonomy code 2083P0500X and a focus in Preventive Medicine/Occupational Environmental Medicine.