LAKE STEVENS
NPI 1376695551
Durable Medical Equipment & Medical Supplies in Lake Stevens, WA

NPI Status: Active since January 17, 2007

Contact Information

8910 VERNON ROAD
LAKE STEVENS, WA
ZIP 98258
Phone: (425) 335-0966

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • CLIA Number: 50D2292594
  • CLIA Cert. Type: Other - AFH
  • CLIA Exp. Date: 04-04-2028

About LAKE STEVENS

This page provides the complete NPI Profile along with additional information for Lake Stevens, a provider established in Lake Stevens, Washington operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1376695551 assigned on January 2007. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's other name is Lake Stevens. The authorized official of this NPI record is Dr. George Go Md (Board President)

NPI
1376695551
Provider Legal Name
OPTUM CARE WASHINGTON PLLC
Other Organization Name
LAKE STEVENS
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
8910 VERNON ROAD LAKE STEVENS, WA 98258
Location Phone
(425) 335-0966
Mailing Address
PO BOX 5127 EVERETT, WA 98206
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-17-2007
Last Update Date
04-09-2024
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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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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

DR. GEORGE GO MD

Authorized Official Title
BOARD PRESIDENT
Authorized Official Phone
(425) 259-0966

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
33000OTHER (01)WAL&I
7776503MEDICAID (05)WA 

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
50D2292594
Facility Type
Other - AFH
Certificate Effective Date
October 26, 2023
Certificate Expiration Date
April 04, 2028
Laboratory Director
KLINNIE NYALE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Lake Stevens 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.

Reviews for LAKE STEVENS

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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 1376695551, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
5
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
1
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 6 → 12 → 3 5 → 10 → 1 5 → 10 → 1

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 + 1 + 2 + 9 + 1 + 0 + 5 + 1 + 0 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1376695551.

Other Providers at the Same Location


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

Physician Assistant (Medical)
8910 VERNON ROAD
LAKE STEVENS, WA 98258

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376695551, enumerated as an "organization" on January 17, 2007.

The provider is located at 8910 VERNON ROAD LAKE STEVENS, WA 98258 and the phone number is (425) 335-0966.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

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