FULLSCOPE MOBILE DIAGNOSTICS
NPI 1225908643
Specialist/Technologist, Pathology in Odenville, AL

NPI Status: Active since November 10, 2025

Contact Information

330 LEVINE RD
ODENVILLE, AL
ZIP 35120
Phone: (205) 722-3648

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  • Organization
  • Specialist/Technologist, Pathology
  • CLIA Number: 01D2334449
  • CLIA Cert. Type: Mobile Laboratory
  • CLIA Exp. Date: 11-19-2027

About FULLSCOPE MOBILE DIAGNOSTICS

This page provides the complete NPI Profile along with additional information for Fullscope Mobile Diagnostics, a provider established in Odenville, Alabama operating as a Specialist/technologist, Pathology. The healthcare provider is registered in the NPI registry with number 1225908643 assigned on November 2025. The practitioner's primary taxonomy code is 246Q00000X. The provider is registered as an organization and their NPI record was last updated one year 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 Ebony S Gonzales (Owner)

NPI
1225908643
Provider Name
FULLSCOPE MOBILE DIAGNOSTICS
Entity Type
Organization
Location Address
330 LEVINE RD ODENVILLE, AL 35120
Location Phone
(205) 722-3648
Mailing Address
330 LEVINE RD ODENVILLE, AL 35120
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-10-2025
Last Update Date
11-18-2025
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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

Taxonomy Code
246Q00000X
Type
Technologists, Technicians & Other Technical Service Providers
Taxonomy Description
(1) An individual educated and trained in clinical chemistry, microbiology or other biological sciences; and in gathering data on the blood, tissues, and fluids in the human body. Tests and procedures performed or supervised center on major areas of hematology, microbiology, immunohematology, immunology, clinical chemistry and urinalysis. Education and certification requires the equivalent of an associate degree and alternative combinations of accredited training and experience. (2) A specially trained individual who works under the direction of a pathologist, other physician, or scientist, and performs specialized chemical, microscopic, and bacteriological tests of human blood, tissue, and fluids. Also known as medical technologists, they perform and supervise tests and procedures in clinical chemistry, immunology, serology, bacteriology, hematology, parasitology, mycology, urinalysis, and blood banking. The work requires the correlation of test results with other data, interpretation of test findings, and exercise of independent judgment. The minimum educational requirement (for one of several certification programs in medical technology) is a baccalaureate degree with appropriate science course requirements, plus a twelve-month, structured, AMA approved medical technology program and an examination; or a baccalaureate degree with appropriate science course requirements and experience.

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

EBONY S GONZALES

Authorized Official Title
OWNER
Authorized Official Phone
(205) 722-3648

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
01D2334449
Facility Type
Mobile Laboratory
Certificate Effective Date
November 20, 2025
Certificate Expiration Date
November 19, 2027
Laboratory Director
EBONY S. GONZALES
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Fullscope Mobile Diagnostics 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 1225908643, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
2
Unchanged
Pos 3
2
Doubled → 4
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
4
Doubled → 8
Check
3
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 9 → 18 → 9 8 → 16 → 7 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 4 + 5 + 1 + 8 + 0 + 1 + 6 + 6 + 8 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1225908643.

Other Providers at the Same Location


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

Technician, Pathology (Phlebotomy)
330 LEVINE RD
ODENVILLE, AL 35120

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225908643, enumerated as an "organization" on November 10, 2025.

The provider is located at 330 LEVINE RD ODENVILLE, AL 35120 and the phone number is (205) 722-3648.

Specialist/Technologist, Pathology with taxonomy code 246Q00000X.