STICK AND GO MOBILE LAB SERVICES
NPI 1356148100
Health Maintenance Organization in South Bend, IN

NPI Status: Active since February 28, 2025

Contact Information

2015 W WESTERN AVE
SOUTH BEND, IN
ZIP 46619
Phone: (800) 820-8210

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  • Organization
  • Health Maintenance Organization

About STICK AND GO MOBILE LAB SERVICES

This page provides the complete NPI Profile along with additional information for Stick And Go Mobile Lab Services, a provider established in South Bend, Indiana operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1356148100 assigned on February 2025. The practitioner's primary taxonomy code is 302R00000X. 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 Jazmine Brooks Cpt (Travel Phlebotomist)

NPI
1356148100
Provider Name
STICK AND GO MOBILE LAB SERVICES
Entity Type
Organization
Location Address
2015 W WESTERN AVE SOUTH BEND, IN 46619
Location Phone
(800) 820-8210
Mailing Address
137 S SHERIDAN ST SOUTH BEND, IN 46619
Mailing Phone
(708) 714-4935
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-28-2025
Last Update Date
02-28-2025
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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

Health Maintenance Organization

Taxonomy Code
302R00000X
Type
Managed Care Organizations
Taxonomy Description
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1246RP1900XTechnologists, Technicians & Other Technical Service Providers

Technician, Pathology
Phlebotomy

 
2251E00000XAgencies

Home Health

 
3251J00000XAgencies

Nursing Care

 
4261Q00000XAmbulatory Health Care Facilities

Clinic/Center

 
5331L00000XSuppliers

Blood Bank

 

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.

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

JAZMINE BROOKS CPT

Authorized Official Title
TRAVEL PHLEBOTOMIST
Authorized Official Phone
(708) 714-4935

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
1396558912MEDICAID (05)IN 

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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 1356148100, we treat the final digit (0) 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

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
3
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
6
Unchanged
Pos 5
1
Doubled → 2
Pos 6
4
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
Check
0
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 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 + 3 + 1 + 0 + 6 + 2 + 4 + 1 + 6 + 1 + 0 + 24 = 50

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

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1356148100.

Other Providers at the Same Location


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

Chiropractor
2015 W WESTERN AVE, SUITE 240
SOUTH BEND, IN 46619

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356148100, enumerated as an "organization" on February 28, 2025.

The provider is located at 2015 W WESTERN AVE SOUTH BEND, IN 46619 and the phone number is (800) 820-8210.

Health Maintenance Organization with taxonomy code 302R00000X.

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