RIDGEWOOD DIAGNOSTIC LABORATORY, LLC
NPI 1568839173
Clinical Medical Laboratory in Hackensack, NJ
NPI Status: Active since August 31, 2015
Contact Information
126 STATE STREET
2ND FLOOR
HACKENSACK, NJ
ZIP 07601
Phone: (973) 542-2343
Fax: (201) 632-6548
- Organization
- Clinical Medical Laboratory
- CLIA Number: 31D2109691
- CLIA Cert. Type: Independent
- CLIA Exp. Date: 01-18-2027
About RIDGEWOOD DIAGNOSTIC LABORATORY, LLC
This page provides the complete NPI Profile along with additional information for Ridgewood Diagnostic Laboratory, Llc, a provider established in Hackensack, New Jersey operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1568839173 assigned on August 2015. The practitioner's primary taxonomy code is 291U00000X with license number 31D2109691 (NJ). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Alexandr Zaitsev M.d. (President)
- NPI
- 1568839173
- Provider Name
- RIDGEWOOD DIAGNOSTIC LABORATORY, LLC
- Entity Type
- Organization
- Location Address
- 126 STATE STREET 2ND FLOOR HACKENSACK, NJ 07601
- Location Phone
- (973) 542-2343
- Location Fax
- (201) 632-6548
- Mailing Address
- 126 STATE STREET 2ND FLOOR HACKENSACK, NJ 07601
- Mailing Phone
- (973) 542-2343
- Mailing Fax
- (201) 632-6548
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-31-2015
- Last Update Date
- 11-20-2018
- Code Navigator
Establishments like Ridgewood Diagnostic Laboratory, Llc 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.
- 31D2109691
- License State
- NJ
- 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.
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms
Gene analysis (5, 10-methylenetetrahydrofolate reductase) common variants
Gene analysis (glucose-6-phosphate dehydrogenase) full sequence analysis
Hla class i typing high resolution one locus
Test for detecting genes associated with disease, genomic sequence, must include sequence analysis of entire mitochondrial genome
Test for detecting genes associated with disease, whole mitochondrial genome
A definitive drug test identifies specific drugs in your system. It uses advanced methods like gc/ms and lc/ms, which can distinguish between different types of drugs but not necessarily their 3D forms. This test offers detailed results to support your healthcare decisions.
This service was performed 81 times for 70 patientsGene analysis for 5,10-methylenetetrahydrofolate reductase (MTHFR) common variants is a test that looks at your DNA to identify any changes in the MTHFR gene. These changes can affect how your body processes certain vitamins, which could impact your overall health.
This service was performed 18 times for 18 patientsGene analysis for glucose-6-phosphate dehydrogenase (G6PD) involves studying your DNA to check for changes in the G6PD gene. This gene controls an enzyme that helps red blood cells function properly. Anomalies can cause health issues like anemia.
This service was performed 18 times for 18 patientsHLA Class I Typing High Resolution One Locus is a detailed genetic test. It identifies specific proteins on your cells to help match organ or bone marrow donors and recipients. This ensures the body accepts the transplant.
This service was performed 18 times for 18 patientsThis test detects specific genes linked to diseases by analyzing the entire mitochondrial genome. It's like scanning a book for certain words. The procedure involves mapping the genomic sequence, which is the order of genes in your DNA, to identify potential health risks.
This service was performed 42 times for 42 patientsA test for the whole mitochondrial genome identifies changes in the mitochondrial DNA that may cause health issues. It involves taking a small sample of blood or tissue. The DNA is then examined for any changes linked to potential diseases.
This service was performed 42 times for 42 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
- 31D2109691
- Facility Type
- Independent
- Certificate Effective Date
- January 19, 2025
- Certificate Expiration Date
- January 18, 2027
- Laboratory Director
- ALFRED O. FAYEMI
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Ridgewood Diagnostic Laboratory, Llc 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 1568839173, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
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 67 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568839173, enumerated as an "organization" on August 31, 2015.
The provider is located at 126 STATE STREET 2ND FLOOR HACKENSACK, NJ 07601 and the phone number is (973) 542-2343.
Clinical Medical Laboratory with taxonomy code 291U00000X.
