PROTESTANT MEMORIAL MEDICAL CENTER, INC.
NPI 1558979690
Clinical Medical Laboratory in Belleville, IL

NPI Status: Active since July 15, 2020

Contact Information

4500 MEMORIAL DR
BELLEVILLE, IL
ZIP 62226
Phone: (618) 257-5613

NPI Profile Information
Primary Taxonomy
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinical Medical Laboratory

About PROTESTANT MEMORIAL MEDICAL CENTER, INC.

This page provides the complete NPI Profile along with additional information for Protestant Memorial Medical Center, Inc., a provider established in Belleville, Illinois operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1558979690 assigned on July 2020. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Jane Karen Gusmano (Vice President, Cfo)

NPI: 1558979690
Provider Name: PROTESTANT MEMORIAL MEDICAL CENTER, INC.
Entity Type: Organization
Location Address: 4500 MEMORIAL DR BELLEVILLE, IL 62226
Location Phone: (618) 257-5613
Mailing Address: 4500 MEMORIAL DR BELLEVILLE, IL 62226
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 07-15-2020
Last Update Date: 07-15-2020
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Establishments like Protestant Memorial Medical Center, Inc. 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.

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.

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: JANE KAREN GUSMANO
Authorized Official Title: VICE PRESIDENT, CFO
Authorized Official Phone: (618) 257-5607

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.
1	5	5	8	9	7	9	6	9	0
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	5	10	8	18	7	18	6	18
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 0 + 8 + 1 + 8 + 7 + 1 + 8 + 6 + 1 + 8 + 24 = 80
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
									0

The NPI number 1558979690 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

PREMIER INTERNAL MEDICINE LLC

Internal Medicine

4500 MEMORIAL DR
BELLEVILLE, IL
ZIP 62226

About PROTESTANT MEMORIAL MEDICAL CENTER, INC.

Location Map

Specialty - Primary Taxonomy

Clinical Medical Laboratory

Authorized Official

JANE KAREN GUSMANO

Reviews for PROTESTANT MEMORIAL MEDICAL CENTER, INC.

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is PROTESTANT MEMORIAL MEDICAL CENTER, INC.'s NPI number?

Where is the provider located?

What is the provider's specialty?