PCHC MAIN LAB
NPI 1659464584
Clinical Medical Laboratory in Bangor, ME
NPI Status: Active since October 02, 2006
Contact Information
992 UNION ST. SUITE J
BANGOR, ME
ZIP 04402
Phone: (207) 992-2336
Fax: (207) 992-2154
- Organization
- Clinical Medical Laboratory
- CLIA Number: 20D1045004
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 11-23-2026
About PCHC MAIN LAB
This page provides the complete NPI Profile along with additional information for Pchc Main Lab, a provider established in Bangor, Maine operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1659464584 assigned on October 2006. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Pchc Main Lab operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Pchc Main Lab. The authorized official of this NPI record is Lori L. Dwyer Esq. (President & Ceo)
- NPI
- 1659464584
- Provider Legal Name
- PENOBSCOT COMMUNITY HEALTH CENTER
- Other Organization Name
- PCHC MAIN LAB
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 992 UNION ST. SUITE J BANGOR, ME 04402
- Location Phone
- (207) 992-2336
- Location Fax
- (207) 992-2154
- Mailing Address
- PO BOX 1599 BANGOR, ME 04402
- Mailing Phone
- (207) 945-5247
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-02-2006
- Last Update Date
- 06-25-2018
- Code Navigator
Establishments like Pchc Main 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
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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
- 20D1045004
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- November 24, 2024
- Certificate Expiration Date
- November 23, 2026
- Laboratory Director
- CHUNG H. SHUM
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Pchc Main Lab 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 1659464584, we treat the final digit (4) 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 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 4).
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 76 is 80. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659464584, enumerated as an "organization" on October 02, 2006.
The provider is located at 992 UNION ST. SUITE J BANGOR, ME 04402 and the phone number is (207) 992-2336.
Clinical Medical Laboratory with taxonomy code 291U00000X.
