AUBURN GRESHAM SATELLITE CENTER
NPI 1548438450
Clinic/Center in Chicago, IL
NPI Status: Active since February 13, 2008
Contact Information
1040 W. 79TH STREET
CHICAGO, IL
ZIP 60620
Phone: (312) 744-4016
- Organization
- Clinic/Center
- CLIA Number: 14D2020657
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 05-22-2026
About AUBURN GRESHAM SATELLITE CENTER
This page provides the complete NPI Profile along with additional information for Auburn Gresham Satellite Center, a provider established in Chicago, Illinois operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1548438450 assigned on February 2008. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Joyce Gallagher (Commissioner)
- NPI
- 1548438450
- Provider Name
- AUBURN GRESHAM SATELLITE CENTER
- Entity Type
- Organization
- Location Address
- 1040 W. 79TH STREET CHICAGO, IL 60620
- Location Phone
- (312) 744-4016
- Mailing Address
- 1040 W. 79TH STREET CHICAGO, IL 60620
- Mailing Phone
- (312) 744-4016
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 02-13-2008
- Last Update Date
- 02-13-2008
- Code Navigator
Location Map
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
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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
- 14D2020657
- Facility Type
- Community Clinic
- Certificate Effective Date
- February 24, 2011
- Certificate Expiration Date
- May 22, 2026
- Laboratory Director
- SHOUJIN WU
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Auburn Gresham Satellite Center on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha 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 1548438450, 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 70 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548438450, enumerated as an "organization" on February 13, 2008.
The provider is located at 1040 W. 79TH STREET CHICAGO, IL 60620 and the phone number is (312) 744-4016.
Clinic/Center with taxonomy code 261Q00000X.
