ISLAND DNA & TESTING CENTER LLC
NPI 1366296972
Technician, Pathology - Phlebotomy in Fayetteville, NC

NPI Status: Active since April 11, 2024

Contact Information

2620 BRAGG BLVD STE N
FAYETTEVILLE, NC
ZIP 28303
Phone: (910) 861-0853

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  • Organization
  • Technician, Pathology
  • Phlebotomy
  • CLIA Number: 34D2303128
  • CLIA Cert. Type: Other - TEMPORARY SITES
  • CLIA Exp. Date: 04-21-2028

About ISLAND DNA & TESTING CENTER LLC

This page provides the complete NPI Profile along with additional information for Island Dna & Testing Center Llc, a provider established in Fayetteville, North Carolina operating as a Technician, Pathology, focusing in phlebotomy . The healthcare provider is registered in the NPI registry with number 1366296972 assigned on April 2024. The practitioner's primary taxonomy code is 246RP1900X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Island Dna & Testing Center Llc 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 Mrs. Tiffany Thompson (Owner, Lab Director)

NPI
1366296972
Provider Name
ISLAND DNA & TESTING CENTER LLC
Entity Type
Organization
Location Address
2620 BRAGG BLVD STE N FAYETTEVILLE, NC 28303
Location Phone
(910) 861-0853
Mailing Address
2620 BRAGG BLVD STE N FAYETTEVILLE, NC 28303
Mailing Phone
(910) 861-0853
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-11-2024
Last Update Date
04-15-2024
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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

Technician, Pathology Phlebotomy

Taxonomy Code
246RP1900X
Type
Technologists, Technicians & Other Technical Service Providers

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

MRS. TIFFANY THOMPSON

Authorized Official Title
OWNER, LAB DIRECTOR
Authorized Official Phone
(910) 861-0853

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
34D2303128
Facility Type
Other - TEMPORARY SITES
Certificate Effective Date
April 22, 2026
Certificate Expiration Date
April 21, 2028
Laboratory Director
TIFFANY T. THOMPSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Island Dna & Testing Center 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 1366296972, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
2
Doubled → 4
Pos 6
9
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
9
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
2
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 2 → 4 6 → 12 → 3 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 2 + 6 + 4 + 9 + 1 + 2 + 9 + 1 + 4 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1366296972.

Other Providers at the Same Location


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

Technician, Pathology (Phlebotomy)
2620 BRAGG BLVD STE N
FAYETTEVILLE, NC 28303

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366296972, enumerated as an "organization" on April 11, 2024.

The provider is located at 2620 BRAGG BLVD STE N FAYETTEVILLE, NC 28303 and the phone number is (910) 861-0853.

Technician, Pathology with taxonomy code 246RP1900X and a focus in Phlebotomy.