THE LAB, LLC
NPI 1609463819
Physiological Laboratory in Jackson, WY
NPI Status: Active since December 22, 2020
Contact Information
625 E BROADWAY AVE
JACKSON, WY
ZIP 83001
Phone: (307) 920-1688
- Organization
- Physiological Laboratory
- CLIA Number: 05D2329461
- CLIA Cert. Type: Home Health Agency
- CLIA Exp. Date: 08-27-2027
About THE LAB, LLC
This page provides the complete NPI Profile along with additional information for The Lab, Llc, a provider established in Jackson, Wyoming operating as a Physiological Laboratory. The healthcare provider is registered in the NPI registry with number 1609463819 assigned on December 2020. The practitioner's primary taxonomy code is 293D00000X. 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 Austin Hammesfahr (Manager)
- NPI
- 1609463819
- Provider Name
- THE LAB, LLC
- Entity Type
- Organization
- Location Address
- 625 E BROADWAY AVE JACKSON, WY 83001
- Location Phone
- (307) 920-1688
- Mailing Address
- 522 N SWEETZER AVE APT 5 LOS ANGELES, CA 90048
- Mailing Phone
- (310) 307-9670
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-22-2020
- Last Update Date
- 05-23-2021
- Code Navigator
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
Physiological Laboratory
- Taxonomy Code
- 293D00000X
- Type
- Laboratories
- Taxonomy Description
- A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
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
- 05D2329461
- Facility Type
- Home Health Agency
- Certificate Effective Date
- August 28, 2025
- Certificate Expiration Date
- August 27, 2027
- Laboratory Director
- ARIELLA MORROW
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to The Lab, 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 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 1609463819, 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 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.
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 71 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
JACKSON, WY 83001
JACKSON, WY 83001
JACKSON, WY 83001
JACKSON, WY 83001
JACKSON, WY 83001
JACKSON, WY 83001
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609463819, enumerated as an "organization" on December 22, 2020.
The provider is located at 625 E BROADWAY AVE JACKSON, WY 83001 and the phone number is (307) 920-1688.
Physiological Laboratory with taxonomy code 293D00000X.
