COLLAB DIAGNOSTIC LLC
NPI 1568214179
Pathology - Clinical Pathology/Laboratory Medicine in Reisterstown, MD

NPI Status: Active since April 05, 2024

Contact Information

750 MAIN ST STE 300A
REISTERSTOWN, MD
ZIP 21136
Phone: (832) 754-6495

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  • Organization
  • Pathology
  • Clinical Pathology/Laboratory Medicine
  • CLIA Number: 21D2298189
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 01-29-2028

About COLLAB DIAGNOSTIC LLC

This page provides the complete NPI Profile along with additional information for Collab Diagnostic Llc, a provider established in Reisterstown, Maryland operating as a Pathology, focusing in clinical pathology/laboratory medicine . The healthcare provider is registered in the NPI registry with number 1568214179 assigned on April 2024. The practitioner's primary taxonomy code is 207ZP0105X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Dr. Bryant Bell Dhsc(c),m.scct(ascp) (Lab Director)

NPI
1568214179
Provider Name
COLLAB DIAGNOSTIC LLC
Entity Type
Organization
Location Address
750 MAIN ST STE 300A REISTERSTOWN, MD 21136
Location Phone
(832) 754-6495
Mailing Address
750 MAIN ST STE 300A REISTERSTOWN, MD 21136
Mailing Phone
(832) 754-6495
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-05-2024
Last Update Date
08-28-2024
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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

Pathology Clinical Pathology/Laboratory Medicine

Taxonomy Code
207ZP0105X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

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

DR. BRYANT BELL DHSC(C),M.SCCT(ASCP)

Authorized Official Title
LAB DIRECTOR
Authorized Official Phone
(410) 634-0943

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
21D2298189
Facility Type
Independent
Certificate Effective Date
January 30, 2026
Certificate Expiration Date
January 29, 2028
Laboratory Director
DUWAYNE SMITH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Collab Diagnostic Llc 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 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 1568214179, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
8
Unchanged
Pos 5
2
Doubled → 4
Pos 6
1
Unchanged
Pos 7
4
Doubled → 8
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 6 → 12 → 3 2 → 4 4 → 8 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 2 + 8 + 4 + 1 + 8 + 1 + 1 + 4 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1568214179.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568214179, enumerated as an "organization" on April 05, 2024.

The provider is located at 750 MAIN ST STE 300A REISTERSTOWN, MD 21136 and the phone number is (832) 754-6495.

Pathology with taxonomy code 207ZP0105X and a focus in Clinical Pathology/Laboratory Medicine.