PHYSICIANS LABORATORY, LLC
NPI 1265737787
Supports Brokerage in Chicago, IL

NPI Status: Active since January 13, 2011

Contact Information

1410 W FULTON ST
SUITE 204
CHICAGO, IL
ZIP 60607
Phone: (312) 262-4600
Fax: (312) 262-4531

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  • Organization
  • Supports Brokerage
  • CLIA Number: 14D1058081
  • CLIA Cert. Type: Other - URGENT CARE CLINIC
  • CLIA Exp. Date: 08-30-2026

About PHYSICIANS LABORATORY, LLC

This page provides the complete NPI Profile along with additional information for Physicians Laboratory, Llc, a provider established in Chicago, Illinois operating as a Supports Brokerage. The healthcare provider is registered in the NPI registry with number 1265737787 assigned on January 2011. The practitioner's primary taxonomy code is 251X00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Mr. William Navas (President)

NPI
1265737787
Provider Name
PHYSICIANS LABORATORY, LLC
Entity Type
Organization
Location Address
1410 W FULTON ST SUITE 204 CHICAGO, IL 60607
Location Phone
(312) 262-4600
Location Fax
(312) 262-4531
Mailing Address
1410 W FULTON ST SUITE 204 CHICAGO, IL 60607
Mailing Phone
(312) 262-4600
Mailing Fax
(312) 262-4531
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-13-2011
Last Update Date
01-13-2011
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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

Supports Brokerage

Taxonomy Code
251X00000X
Type
Agencies
Taxonomy Description
A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services.

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. WILLIAM NAVAS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(312) 262-4600

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
14D1058081
Facility Type
Other - URGENT CARE CLINIC
Certificate Effective Date
August 31, 2024
Certificate Expiration Date
August 30, 2026
Laboratory Director
ROBERT M. BIERNBAUM
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Physicians Laboratory, Llc 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 1265737787, 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
2
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
5
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
3
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
7
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
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 6 → 12 → 3 7 → 14 → 5 7 → 14 → 5 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 + 2 + 5 + 1 + 4 + 3 + 1 + 4 + 7 + 1 + 6 + 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 1265737787.

Other Providers at the Same Location


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

Pharmacy (Community/Retail Pharmacy)
1410 W FULTON ST, SUITE 201
CHICAGO, IL 60607

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265737787, enumerated as an "organization" on January 13, 2011.

The provider is located at 1410 W FULTON ST SUITE 204 CHICAGO, IL 60607 and the phone number is (312) 262-4600.

Supports Brokerage with taxonomy code 251X00000X.