BLUE RIDGE INTERNAL MEDICINE LAB
NPI 1558557090
Clinical Medical Laboratory in Princeton, WV
NPI Status: Active since September 19, 2007
Contact Information
407 12TH STREET EXT
PRINCETON, WV
ZIP 24740
Phone: (304) 487-0232
Fax: (304) 487-0285
- Organization
- Clinical Medical Laboratory
- CLIA Number: 51D2082434
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-09-2027
About BLUE RIDGE INTERNAL MEDICINE LAB
This page provides the complete NPI Profile along with additional information for Blue Ridge Internal Medicine Lab, a provider established in Princeton, West Virginia operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1558557090 assigned on September 2007. The practitioner's primary taxonomy code is 291U00000X with license number 1804 (WV). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's other name is Blue Ridge Internal Medicine Lab. The authorized official of this NPI record is Ms. Jacinda Santon Smith (Administrator)
- NPI
- 1558557090
- Provider Legal Name
- BLUE RIDGE INTERNAL MEDICINE INC.
- Other Organization Name
- BLUE RIDGE INTERNAL MEDICINE LAB
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 407 12TH STREET EXT PRINCETON, WV 24740
- Location Phone
- (304) 487-0232
- Location Fax
- (304) 487-0285
- Mailing Address
- PO BOX 5065 407 12TH STREET EXTENSION PRINCETON, WV 24740
- Mailing Phone
- (304) 487-0232
- Mailing Fax
- (304) 487-0285
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-19-2007
- Last Update Date
- 07-10-2008
- Code Navigator
Establishments like Blue Ridge Internal Medicine Lab 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
- License No.
- 1804
- License State
- WV
- 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.
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
- 51D2082434
- Facility Type
- Physician Office
- Certificate Effective Date
- April 10, 2025
- Certificate Expiration Date
- April 09, 2027
- Laboratory Director
- DR. TODD A. SMITH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Blue Ridge Internal Medicine Lab 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.
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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 1558557090, 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.
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 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
PRINCETON, WV 24740
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558557090, enumerated as an "organization" on September 19, 2007.
The provider is located at 407 12TH STREET EXT PRINCETON, WV 24740 and the phone number is (304) 487-0232.
Clinical Medical Laboratory with taxonomy code 291U00000X.
