WINSLOW SRU
NPI 1508122078
Clinical Medical Laboratory in Winslow, AZ

NPI Status: Active since April 09, 2012

Contact Information

105 N COTTONWOOD AVE
WINSLOW, AZ
ZIP 86047
Phone: (928) 289-3151
Fax: (928) 289-2444

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  • Organization
  • Clinical Medical Laboratory

About WINSLOW SRU

This page provides the complete NPI Profile along with additional information for Winslow Sru, a provider established in Winslow, Arizona operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1508122078 assigned on April 2012. The practitioner's primary taxonomy code is 291U00000X with license number 03D2037490 (AZ). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Winslow Sru. The authorized official of this NPI record is Mr. John Hogeboom Lisac (Vp/coo)

NPI
1508122078
Provider Legal Name
COMMUNITY BRIDGES, INC
Other Organization Name
WINSLOW SRU
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
105 N COTTONWOOD AVE WINSLOW, AZ 86047
Location Phone
(928) 289-3151
Location Fax
(928) 289-2444
Mailing Address
1855 W BASELINE RD SUITE 101 MESA, AZ 85202
Mailing Phone
(480) 831-7566
Mailing Fax
(928) 289-2444
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-09-2012
Last Update Date
04-09-2012
Code Navigator

Establishments like Winslow Sru are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

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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

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
Laboratories
License No.
03D2037490
License State
AZ
Taxonomy Description
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

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. JOHN HOGEBOOM LISAC

Authorized Official Title
VP/COO
Authorized Official Phone
(480) 831-7566

Reviews for WINSLOW SRU

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1508122078
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2508224014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 2 + 2 + 4 + 0 + 1 + 4 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1508122078 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

COMMUNITY BRIDGES, INC.

Substance Abuse Rehabilitation Facility

105 N COTTONWOOD AVE
WINSLOW, AZ
ZIP 86047

(928) 289-3151

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508122078, enumerated as an "organization" on April 09, 2012.

The provider is located at 105 N COTTONWOOD AVE WINSLOW, AZ 86047 and the phone number is (928) 289-3151.

Clinical Medical Laboratory with taxonomy code 291U00000X.