BLOOMINGTON MEDICAL DISTRIBUTION LLC
NPI 1669918009
Durable Medical Equipment & Medical Supplies in Bloomington, IL
NPI Status: Active since January 09, 2017
Contact Information
1111 TRINITY LN
SUITE 111
BLOOMINGTON, IL
ZIP 61704
Phone: (309) 306-7574
- Organization
- Durable Medical Equipment & Medical Supp...
- CLIA Number: 14D2173863
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 05-22-2026
About BLOOMINGTON MEDICAL DISTRIBUTION LLC
This page provides the complete NPI Profile along with additional information for Bloomington Medical Distribution Llc, a provider established in Bloomington, Illinois operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1669918009 assigned on January 2017. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Melissa Redondo (General Counsel)
- NPI
- 1669918009
- Provider Name
- BLOOMINGTON MEDICAL DISTRIBUTION LLC
- Entity Type
- Organization
- Location Address
- 1111 TRINITY LN SUITE 111 BLOOMINGTON, IL 61704
- Location Phone
- (309) 306-7574
- Mailing Address
- 2045 W GRAND AVE STE B #97551 CHICAGO, IL 60612
- Mailing Phone
- (309) 306-7574
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-09-2017
- Last Update Date
- 05-06-2019
- 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
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- Taxonomy Description
- A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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
- 14D2173863
- Facility Type
- Community Clinic
- Certificate Effective Date
- October 21, 2019
- Certificate Expiration Date
- May 22, 2026
- Laboratory Director
- DOROTHY KURYLO
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Bloomington Medical Distribution Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha 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 1669918009, 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.
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 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
BLOOMINGTON, IL 61704
BLOOMINGTON, IL 61704
BLOOMINGTON, IL 61704
BLOOMINGTON, IL 61704
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669918009, enumerated as an "organization" on January 09, 2017.
The provider is located at 1111 TRINITY LN SUITE 111 BLOOMINGTON, IL 61704 and the phone number is (309) 306-7574.
Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
