SPEK DIAGNOSTICS, INC
NPI 1376261040
Pathology - Dermatopathology in Garden City, ID

NPI Status: Active since August 18, 2022

Contact Information

155 E 50TH ST
GARDEN CITY, ID
ZIP 83714
Phone: (208) 854-9323

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  • Organization
  • Pathology
  • Dermatopathology
  • Accepts Insurance
  • CLIA Number: 13D2272086
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 09-28-2027

About SPEK DIAGNOSTICS, INC

This page provides the complete NPI Profile along with additional information for Spek Diagnostics, Inc, a provider established in Garden City, Idaho operating as a Pathology, focusing in dermatopathology . The healthcare provider is registered in the NPI registry with number 1376261040 assigned on August 2022. The practitioner's primary taxonomy code is 207ZD0900X. The provider is registered as an organization and their NPI record was last updated 3 years 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 Ryan Nathan Lennberg Cpa (Cfo)

NPI
1376261040
Provider Name
SPEK DIAGNOSTICS, INC
Entity Type
Organization
Location Address
155 E 50TH ST GARDEN CITY, ID 83714
Location Phone
(208) 854-9323
Mailing Address
155 E 50TH ST GARDEN CITY, ID 83714
Mailing Phone
(208) 609-3812
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-18-2022
Last Update Date
10-19-2023
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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 Dermatopathology

Taxonomy Code
207ZD0900X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.

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:

  • Moda Health Affinity Bronze 8000 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO

*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

RYAN NATHAN LENNBERG CPA

Authorized Official Title
CFO
Authorized Official Phone
(208) 854-9323

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
13D2272086
Facility Type
Independent
Certificate Effective Date
September 29, 2025
Certificate Expiration Date
September 28, 2027
Laboratory Director
GABRIEL E. MOREY
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Spek Diagnostics, Inc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that 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 1376261040, 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 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
7
Doubled → 14 → 1 + 4
Pos 4
6
Unchanged
Pos 5
2
Doubled → 4
Pos 6
6
Unchanged
Pos 7
1
Doubled → 2
Pos 8
0
Unchanged
Pos 9
4
Doubled → 8
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 7 → 14 → 5 2 → 4 1 → 2 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 4 + 6 + 4 + 6 + 2 + 0 + 8 + 24 = 60

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

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1376261040.

Other Providers at the Same Location


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

Pathology (Anatomic Pathology & Clinical Pathology)
155 E 50TH ST
GARDEN CITY, ID 83714

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376261040, enumerated as an "organization" on August 18, 2022.

The provider is located at 155 E 50TH ST GARDEN CITY, ID 83714 and the phone number is (208) 854-9323.

Pathology with taxonomy code 207ZD0900X and a focus in Dermatopathology.

The provider might be accepting Accepts: Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to verify.