PINKUS DERMATOPATHOLOGY LABORATORY, PC
NPI 1255964185
Pathology - Anatomic Pathology & Clinical Pathology in Monroe, MI

NPI Status: Active since February 19, 2020

Contact Information

1314 N MACOMB ST
MONROE, MI
ZIP 48162
Phone: (616) 530-1860

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  • Organization
  • Pathology
  • Anatomic Pathology & Clinical Pathology
  • CLIA Number: 23D0650651
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 03-06-2027

About PINKUS DERMATOPATHOLOGY LABORATORY, PC

This page provides the complete NPI Profile along with additional information for Pinkus Dermatopathology Laboratory, Pc, a provider established in Monroe, Michigan operating as a Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1255964185 assigned on February 2020. The practitioner's primary taxonomy code is 207ZP0102X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Pinkus Dermatopathology Laboratory, Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dina Valladares (Director, Payer Enrollment)

NPI
1255964185
Provider Name
PINKUS DERMATOPATHOLOGY LABORATORY, PC
Entity Type
Organization
Location Address
1314 N MACOMB ST MONROE, MI 48162
Location Phone
(616) 530-1860
Mailing Address
11025 RCA CENTER DR STE 300 PALM BEACH GARDENS, FL 33410
Mailing Phone
(561) 514-5822
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-19-2020
Last Update Date
02-19-2020
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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

Pathology Anatomic Pathology & Clinical Pathology

Taxonomy Code
207ZP0102X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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

DINA VALLADARES

Authorized Official Title
DIRECTOR, PAYER ENROLLMENT
Authorized Official Phone
(561) 514-5822

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
23D0650651
Facility Type
Independent
Certificate Effective Date
March 07, 2025
Certificate Expiration Date
March 06, 2027
Laboratory Director
VIKTOR GONCHARUK
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Pinkus Dermatopathology Laboratory, Pc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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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 1255964185, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
1
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
5
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 5 → 10 → 1 9 → 18 → 9 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 0 + 5 + 1 + 8 + 6 + 8 + 1 + 1 + 6 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1255964185.

Other Providers at the Same Location


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

Dermatology (Dermatopathology)
1314 N MACOMB ST
MONROE, MI 48162
Pathology (Dermatopathology)
1314 N MACOMB ST
MONROE, MI 48162
Dermatology (Dermatopathology)
1314 N MACOMB ST
MONROE, MI 48162
Pathology (Anatomic Pathology & Clinical Pathology)
1314 N MACOMB ST
MONROE, MI 48162
Dermatology (Dermatopathology)
1314 N MACOMB ST
MONROE, MI 48162
Clinical Medical Laboratory
1314 N MACOMB ST
MONROE, MI 48162
Pathology (Anatomic Pathology & Clinical Pathology)
1314 N MACOMB ST
MONROE, MI 48162

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255964185, enumerated as an "organization" on February 19, 2020.

The provider is located at 1314 N MACOMB ST MONROE, MI 48162 and the phone number is (616) 530-1860.

Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.