STAT MOBILE PHLEBOTOMY AND LABORATORY LLC
NPI 1659965887
Clinical Medical Laboratory in Waukegan, IL
NPI Status: Active since February 28, 2021
Contact Information
1700 N BERWICK BLVD APT K212
WAUKEGAN, IL
ZIP 60085
Phone: (312) 508-0530
Fax: (872) 813-5255
- Organization
- Clinical Medical Laboratory
- CLIA Number: 14D2241321
- CLIA Cert. Type: Mobile Laboratory
- CLIA Exp. Date: 10-26-2025
About STAT MOBILE PHLEBOTOMY AND LABORATORY LLC
This page provides the complete NPI Profile along with additional information for Stat Mobile Phlebotomy And Laboratory Llc, a provider established in Waukegan, Illinois operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1659965887 assigned on February 2021. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Stat Mobile Phlebotomy And Laboratory Llc. The authorized official of this NPI record is Miss Heatherkay Elliott Ma (Manager)
- NPI
- 1659965887
- Provider Legal Name
- STAT MOBILE PHLEBOTOMY LLC
- Other Organization Name
- STAT MOBILE PHLEBOTOMY AND LABORATORY LLC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1700 N BERWICK BLVD APT K212 WAUKEGAN, IL 60085
- Location Phone
- (312) 508-0530
- Location Fax
- (872) 813-5255
- Mailing Address
- 3202 7TH ST APT 102 PARK CITY, IL 60085
- Mailing Phone
- (872) 813-4712
- Mailing Fax
- (872) 813-5255
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-28-2021
- Last Update Date
- 03-15-2022
- Code Navigator
Establishments like Stat Mobile Phlebotomy And 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
- 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 | 246RP1900X | Technologists, Technicians & Other Technical Service Providers | Technician, Pathology |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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.
Blood test, clotting time
Catheterization for collection of specimen, single patient, all places of service
Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha)
Insertion of needle into vein for collection of blood sample
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
This service was performed 78 times for 13 patientsCatheterization is a procedure where a small, flexible tube is inserted into your body to collect a specimen for testing. This is done in a safe, sterile environment and is a common method for obtaining a sample. It's typically done in a hospital or clinic.
This service was performed 27 times for 24 patientsThis procedure involves obtaining a blood sample from a vein (venipuncture) or a urine sample via a tube (catheterization). It's performed in a skilled nursing facility or by a lab for a home health agency. This helps in diagnosing and monitoring health conditions.
This service was performed 68 times for 13 patientsThis procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
This service was performed 94 times for 48 patientsThis service covers travel costs for healthcare professionals to collect necessary lab specimens from patients who are homebound or in nursing homes. The allowance is calculated based on the actual miles traveled to perform this service.
This service was performed 8,148 times for 61 patientsThis service involves a healthcare professional traveling to collect necessary lab samples from patients who are homebound or in a nursing home. The travel allowance is a partial charge for the trip made to facilitate this service. It ensures medical care accessibility for all, regardless of mobility.
This service was performed 118 times for 16 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
- 14D2241321
- Facility Type
- Mobile Laboratory
- Certificate Effective Date
- October 27, 2023
- Certificate Expiration Date
- October 26, 2025
- Laboratory Director
- JOHNOY ELLIOTT
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Stat Mobile Phlebotomy And Laboratory 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 1659965887, we treat the final digit (7) 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 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).
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 73 is 80. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659965887, enumerated as an "organization" on February 28, 2021.
The provider is located at 1700 N BERWICK BLVD APT K212 WAUKEGAN, IL 60085 and the phone number is (312) 508-0530.
Clinical Medical Laboratory with taxonomy code 291U00000X.
