MAMMOTH DX
NPI 1558086108
Clinical Medical Laboratory in Lake Forest, CA
NPI Status: Active since October 06, 2022
Contact Information
20505 CRESCENT BAY DR
LAKE FOREST, CA
ZIP 92630
Phone: (949) 317-0345
Fax: (949) 446-9141
- Organization
- Clinical Medical Laboratory
- CLIA Number: 05D1053414
- CLIA Cert. Type: Independent
- CLIA Exp. Date: 05-22-2026
About MAMMOTH DX
This page provides the complete NPI Profile along with additional information for Mammoth Dx, a provider established in Lake Forest, California operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1558086108 assigned on October 2022. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Mammoth Dx. The authorized official of this NPI record is Ryan Hilton (Owner)
- NPI
- 1558086108
- Provider Legal Name
- UNIQUE MEDI TECH, LLC
- Other Organization Name
- MAMMOTH DX
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 20505 CRESCENT BAY DR LAKE FOREST, CA 92630
- Location Phone
- (949) 317-0345
- Location Fax
- (949) 446-9141
- Mailing Address
- 20505 CRESCENT BAY DR LAKE FOREST, CA 92630
- Mailing Phone
- (949) 317-0345
- Mailing Fax
- (949) 446-9141
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-06-2022
- Last Update Date
- 10-04-2023
- Code Navigator
Establishments like Mammoth Dx 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.
Clinical labs in the U.S. that perform human testing are regulated by the Centers for Medicare & Medicaid Services (CMS) through the Clinical Laboratory Improvement Amendments (CLIA) program. The purpose of the CLIA program is to guarantee the quality of laboratory testing. This provider has a CLIA number assigned, and undergoes regular inspections to ensure compliance and quality.
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
Clinical Medical Laboratory
- Taxonomy Code
- 291U00000X
- Type
- Laboratories
- 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.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r
Microscopic genetic analysis of nerve tissue
Pathology examination of tissue using a microscope, intermediate complexity
Special stained specimen slides to examine tissue and frozen preparation of specimen including interpretation and report
Special stained specimen slides to examine tissue, initial procedure
This service involves the testing for COVID-19 using advanced technologies that can process multiple samples at once. It identifies different types or subtypes of the virus, including SARS-CoV-2/2019-nCoV. This test is non-CDC but adheres to the guidelines outlined in CMS-2020-01-R.
This service was performed 3,635 times for 833 patientsThis is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
This service was performed 4,696 times for 1,000 patientsThis test detects the presence of SARS-CoV-2 (COVID-19) and Influenza types A and B in your body. It uses a method called the multiplex amplified probe technique to amplify and identify specific virus genes. It helps in early diagnosis and appropriate treatment.
This service was performed 12 times for 12 patientsThis is a test to detect the COVID-19 virus. It uses a technique that amplifies the virus's genetic material (DNA or RNA) for detection. High throughput technologies are used for rapid and large-scale testing. The procedure is completed within a set time frame.
This service was performed 3,977 times for 869 patientsThis is a test for COVID-19. It uses high-tech methods to find the virus's genetic material in your body. The amplified probe technique helps detect the virus even in small amounts. This is crucial for early detection and effective treatment.
This service was performed 345 times for 161 patientsMicroscopic genetic analysis of nerve tissue is a test where a tiny sample of your nerve tissue is examined under a microscope. This helps identify any genetic changes or abnormalities that may be affecting your nervous system's health. The procedure is safe and can provide crucial insights for treatment.
This service was performed 33 times for 12 patientsA pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
This service was performed 41 times for 14 patientsThis process involves staining tissue samples on slides to highlight different elements and examine them under a microscope. In some cases, the specimen is quickly frozen to preserve its structure. A detailed report is provided after interpretation of the results.
This service was performed 38 times for 13 patientsThis procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
This service was performed 41 times for 14 patientsCLIA 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
- 05D1053414
- Facility Type
- Independent
- Certificate Effective Date
- May 23, 2024
- Certificate Expiration Date
- May 22, 2026
- Laboratory Director
- DR. ANDREW BURG
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Mammoth Dx 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 1558086108, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
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 52 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
LAKE FOREST, CA 92630
LAKE FOREST, CA 92630
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558086108, enumerated as an "organization" on October 06, 2022.
The provider is located at 20505 CRESCENT BAY DR LAKE FOREST, CA 92630 and the phone number is (949) 317-0345.
Clinical Medical Laboratory with taxonomy code 291U00000X.
