UPSTATE VASCULAR STUDY LAB, INC
NPI 1194782938
Physiological Laboratory in Rochester, NY

NPI Status: Active since April 26, 2006

Contact Information

2655 RIDGEWAY AVENUE
SUITE # 260
ROCHESTER, NY
ZIP 14626
Phone: (585) 720-0818
Fax: (585) 720-5427

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  • Organization
  • Physiological Laboratory

About UPSTATE VASCULAR STUDY LAB, INC

This page provides the complete NPI Profile along with additional information for Upstate Vascular Study Lab, Inc, a provider established in Rochester, New York operating as a Physiological Laboratory. The healthcare provider is registered in the NPI registry with number 1194782938 assigned on April 2006. The practitioner's primary taxonomy code is 293D00000X with license number 124377 (NY). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's former legal business name is Upstate Vascular Study Lab. The authorized official of this NPI record is Mrs. Tiffany A. Burgen (Office Manager)

NPI
1194782938
Provider Legal Name
UPSTATE VASCULAR STUDY LAB, INC
Other Organization Name
UPSTATE VASCULAR STUDY LAB
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
2655 RIDGEWAY AVENUE SUITE # 260 ROCHESTER, NY 14626
Location Phone
(585) 720-0818
Location Fax
(585) 720-5427
Mailing Address
2655 RIDGEWAY AVENUE SUITE # 260 ROCHESTER, NY 14626
Mailing Phone
(585) 720-0818
Mailing Fax
(585) 720-5427
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-26-2006
Last Update Date
02-06-2012
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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

Physiological Laboratory

Taxonomy Code
293D00000X
Type
Laboratories
License No.
124377
License State
NY
Taxonomy Description
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

MRS. TIFFANY A. BURGEN

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(585) 720-0818

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00446135MEDICAID (05)NY 
AA1519MEDICARE ID-TYPE UNSPECIFIED (04)NY 

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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 1194782938, we treat the final digit (8) 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

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
7
Doubled → 14 → 1 + 4
Pos 6
8
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
3
Doubled → 6
Check
8
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 7 → 14 → 5 2 → 4 3 → 6

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 + 1 + 4 + 8 + 4 + 9 + 6 + 24 = 72

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

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1194782938.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194782938, enumerated as an "organization" on April 26, 2006.

The provider is located at 2655 RIDGEWAY AVENUE SUITE # 260 ROCHESTER, NY 14626 and the phone number is (585) 720-0818.

Physiological Laboratory with taxonomy code 293D00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.